Displaying 1 - 20 of 33
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 5841AD VASOTEC 10MG TAB (MSD/STO) ENALAPRIL 30'S C 0.72 10MG 0 2022-04-01 2024-03-31 0
41 5841AD VASOTEC 10MG TAB (MSD) ENALAPRIL (C) 30'S C 0.7276 10MG 90 2024-04-01 2026-03-31 6
40 5841BY ENALAPRIL 10MG TAB (HEA/RXP) 10X10 A 0.04 10MG 90 2022-04-01 2024-03-31 6
40 5841F ENALAPRIL 10MG TAB (HEA/ATB) 10X10 A 0.0421 10MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 5841F ENALAPRIL 10MG TAB (HEA) 10X10 A 0.0527 10MG 90 2024-04-01 2026-03-31 6
41 5841HY ENALAPRIL 10MG TAB (MCP) 10X10 A 0.0449 10MG 90 2024-04-01 2024-12-27 6
41 5841HY ENALAPRIL 10MG TAB (MCP) 10X10 A 0.051 10MG 90 2024-12-28 2026-03-31 6
42 5841JL ENALAPRIL 10MG TAB (HEA) 10X10 A 0.05 10MG 90 2026-04-01 No No Price Change 6
42 5841JW ENALAPRIL 10MG TAB (HEA) 10X10 A 0.05 10MG 90 2026-04-01 No No Add to Contract as Cat A 6
42 5841JY ENALAPRIL 10MG TAB (HEA) 10X10 A 0.05 10MG 90 2026-04-01 No No Add to Contract as Cat A 6
40 5842AD VASOTEC 20MG TAB (MSD/STO) ENALAPRIL 30'S C 0.72 20MG 0 2022-04-01 2024-03-31 0
41 5842AD VASOTEC 20MG TAB (MSD) ENALAPRIL (C) 30'S C 0.7276 20MG 60 2024-04-01 2026-03-31 6
42 5842AD VASOTEC 20MG TAB (MSD) ENALAPRIL 30'S C 0.73 20MG 60 2026-04-01 No No 6
40 5842GC ENALAPRIL 20MG TAB (HEA/RXP) 10X10 A 0.06 20MG 60 2022-04-01 2024-03-31 6
40 5842GM ENALAPRIL 20MG TAB (HEA/ATB) 10X10 A 0.0625 20MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 5842GM ENALAPRIL 20MG TAB (HEA) (C) 10X10 C 0.0802 20MG 60 2024-04-01 2026-03-31 6
41 5842JA ENALAPRIL 20MG TAB (MCP) 10X10 A 0.0639 20MG 60 2024-04-01 2026-03-31 6
41 5842JE ENALAPRIL 20MG TAB (MCP) 30'S A 0.072 20MG 60 2025-01-15 2026-03-31 6
42 5842JK ENALAPRIL 20MG TAB (HEA) 10X10 A 0.08 20MG 60 2026-04-01 No No Price Change 6
42 5842JS ENALAPRIL 20MG TAB (HEA) 10X10 A 0.08 20MG 60 2026-04-01 No No Add to Contract as Cat A 6