Displaying 1 - 16 of 16
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 5231BU CLOTRIMAZOLE 1% CR (HEA/RXP) 15G A 1.44 1% 2 2022-04-01 2024-03-31 0
41 5231CE CANESTEN 1% CR (BSP) CLOTRIMAZOLE (C) 15G C 8.3453 1% 2 2024-04-01 2026-03-31 0
40 5231ED CANESTEN 1% CR (BSP/COL) CLOTRIMAZOLE 15G C 8.97 1% 0 2022-04-01 2024-03-31 0
41 5231ED CANESTEN 1% CR (BSP) CLOTRIMAZOLE (C) 15G C 8.3453 1% 2 2024-04-01 2026-03-31 0
40 5231EF CANESTEN 1% CR (BSP/AHI) CLOTRIMAZOLE 20G C 8.15 1% 0 2022-04-01 2022-09-30 0
40 5231EK CLOTRIMAZOLE 1% CR (HEA/ATB) 15G A 1.44 1% 2 2022-07-12 No No la 0
40 5231EK CLOTRIMAZOLE 1% CR (HEA/ATB) 15G A 1.44 1% 2022-12-07 2024-03-31 No No Change Local Agent 0
41 5231EK CLOTRIMAZOLE 1% CR (HEA) 15G A 1.5494 1% 2 2024-04-01 2026-03-31 0
41 5231ZH CLODERM 1% CR (CAR) CLOTRIMAZOLE (C) 15G C 3.0717 1% 2 2024-04-01 2026-03-31 0
40 5232AZ CANDID 1% EAR DR (GLP/ALI) CLOTRIMAZOLE 15ML A 6.80 1% 1 2022-04-01 2022-03-22 Delete from contract 0
40 5232BN CANDID 1% EAR DR (GLP/ATB) CLOTRIMAZOLE 15ML A 6.80 1% 1 2022-04-01 2024-03-31 Change Local Agent 0
40 5232BP CANDID MOUTH PAINT 1% SOLN (GLP/ATB) CLOTRIMA 20ML A 6.80 1% 2 2022-04-01 2024-03-31 Change Local Agent 0
41 5232BT CLOTRIMAZOLE 1% SOLN (CHC) 30ML A 2.1203 1% 2 2024-04-01 2026-03-31 0
40 5232ZA CANDID MOUTH PAINT 1% SOLN (GLP/ALI) CLOTRIMA 20ML A 6.80 1% 2 2022-04-01 2022-03-22 Delete from contract 0
40 5233AD CANDID 1% PWDR (GLP/ALI) CLOTRIMAZOLE 100G A 7.61 1% 1 2022-04-01 2022-03-22 Delete from contract 0
40 5233AF CANDID 1% PWDR (GLP/ATB) CLOTRIMAZOLE 100G A 7.61 1% 1 2022-04-01 2024-03-31 Change Local Agent 0