|
|
40
|
B041JL
|
NEXIUM 20MG TAB (AZN/COL) ESOMEPRAZOLE
|
28'S
|
C
|
1.49
|
20MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
B041JL
|
NEXIUM 20MG TAB (AZN) ESOMEPRAZOLE (C)
|
28'S
|
C
|
1.4524
|
20MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
40
|
B041JM
|
NEXIUM 40MG TAB (AZN/COL) ESOMEPRAZOLE
|
28'S
|
C
|
1.87
|
40MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
B041JM
|
NEXIUM 40MG TAB (AZN) ESOMEPRAZOLE (C)
|
28'S
|
C
|
1.8659
|
40MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
40
|
B041LE
|
NEXIUM 10MG GRAN (AZN/COL) ESOMEPRAZOLE
|
28'S
|
C
|
1.70
|
10MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
40
|
B041LG
|
ESOMEPRAZOLE 20MG TAB (KWA/ATB)
|
10X10
|
C
|
0.19
|
20MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
40
|
B041LQ
|
EMEP 40MG CAP (ARP/AHI) ESOMEPRAZOLE
|
40'S
|
C
|
0.41
|
40MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
Add to Contract as Cat C
|
0
|
|
|
41
|
B041PD
|
ESOMAC 20MG TAB (MPI) ESOMEPRAZOLE (C)
|
3X10
|
C
|
0.1205
|
20MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
41
|
B041PE
|
ESOMAC 40MG TAB (MPI) ESOMEPRAZOLE (C)
|
3X10
|
C
|
0.1395
|
40MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
40
|
B042AP
|
NEXIUM 40MG INJ (AZN/COL) ESOMEPRAZOLE
|
10X5ML
|
C
|
14.68
|
40MG
|
0
|
2022-04-01
|
2022-06-15
|
|
|
Delete from contract
|
0
|
|
|
40
|
B042AW
|
EMEP 40MG INJ (ARP/AHI) ESOMEPRAZOLE
|
40MG VIAL
|
C
|
7.94
|
40MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
B042AW
|
EMEP 40MG INJ (ARP) ESOMEPRAZOLE (C)
|
40MG VIAL
|
C
|
5.4366
|
40MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
