Displaying 1 - 20 of 42
Contract Number Brand Code Brand Name Package Size Formulary Category Unit Price Strength Max. Reimbursable / Month Drug Contract Start Date Drug Contract End Date Restrict To Ophthalmologist Restrict To Pulmonologist Status Description Max Repeats
40 55618 CANESTEN-3 200MG VAG. P (BSP/AHI) CLOTRIMAZOL 3'S C 10.19 200MG 1 2022-04-01 2024-03-31 0
41 55618 CANESTEN-3 200MG VAG PESS (BSP) CLOTRIMAZOLE 3'S A 9.1879 200MG 1 2024-04-01 2026-03-31 0
42 55618 CANESTEN-3 200MG VAG OV (BSP) CLOT (C) 3'S C 9.19 200MG 1 2026-04-01 No No Add to Contract as Cat C 0
40 5561AA CANESTEN-3 200MG VAG OV (BSP/COL) CLOTRIMAZOLE 3'S A 9.87 200MG 1 2022-04-01 2024-03-31 0
41 5561AA CANESTEN-3 200MG VAG OV (BSP) CLOTRIMAZOLE 3'S A 9.1879 200MG 1 2024-04-01 2026-03-31 0
42 5561AA CANESTEN-3 200MG VAG OV (BSP) CLOTRIMAZOLE 3'S C 7.23 200MG 1 2026-04-01 No No 0
40 5561AB CANESTEN 500MG VAG OV (BSP/COL) CLOTRIMAZOLE 1'S A 11.88 500MG 1 2022-04-01 2024-03-31 0
41 5561AB CANESTEN 500MG VAG OV (BSP) CLOTRIMAZOLE 1'S A 11.0364 500MG 1 2024-04-01 2026-03-31 0
42 5561AB CANESTEN 500MG VAG OV (BSP) CLOTRIMAZOLE 1'S C 10.03 500MG 1 2026-04-01 No No 0
40 5561AC CANESTEN-6 1% VAG CR (BSP/COL) CLOTRIMAZOLE 35G A 9.41 1% 1 2022-04-01 2024-03-31 0
41 5561AC CANESTEN-6 1% VAG CR (BSP) CLOTRIMAZOLE 35G A 8.7258 1% 1 2024-04-01 2026-03-31 0
42 5561AC CANESTEN-6 1% VAG CR (BSP) CLOTRIMAZOLE 35G A 11.15 1% 1 2026-04-01 No No 0
40 5561AD CANESTEN-3 2% VAG CR (BSP/COL) CLOTRIMAZOLE 20G C 10.36 2% 0 2022-04-01 2024-03-31 0
41 5561AD CANESTEN-3 2% VAG CR (BSP) CLOTRIMAZOLE 20G A 9.5957 2% 1 2024-04-01 2026-03-31 0
42 5561AD CANESTEN-3 2% VAG CR (BSP) CLOTRIMAZOLE 20G C 11.15 2% 1 2026-04-01 No No 0
41 5561AG CANESTEN-6 1% VAG CR (BSP) CLOTRIMAZOLE 35G A 8.7258 1% 1 2024-04-01 2026-03-31 0
42 5561AG CANESTEN-6 1% VAG CR (BSP) CLOTRIM (C) 35G C 13.59 1% 1 2026-04-01 No No Add to Contract as Cat C 0
42 5561BF CANDID 500MG OVULE (GLP) CLOTRIMAZO 1'S A 8.15 500MG 1 2026-04-01 No No 0
40 5561CK CLOTRI-DENK 100MG VAG OV (EDK/COL) CLOTRIMAZO 6'S A 4.35 100MG 1 2022-04-01 2024-03-31 0
40 5561CL CANESTEN-6 100MG VAG OV (BSP/COL) CLOTRIMAZOL 6'S C 9.60 100MG 0 2022-04-01 2024-03-31 0