Displaying 1 - 20 of 28
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
41 4141JQ PEROFEN 400MG TAB (REM) IBUPROFEN 1000'S A 0.0694 400MG 120 2024-04-01 2026-03-31 6
40 4141KK IBUPROFEN 400MG TAB (HEA/RXP) 10X10 A 0.09 400MG 120 2022-04-01 2024-03-31 6
40 4141KX IBUPROFEN 400MG TAB (HEA/ATB) 10X10 A 0.0897 400MG 2022-12-07 2024-03-31 No No Change Local Agent 6
40 4141PQ APO-IBUPROFEN 200MG TAB (APO/COL) 100'S A 0.12 200MG 120 2022-04-01 2024-03-31 6
40 4141QF ADVIL 200MG TAB (GSK/COL) IBUPROFEN 50'S C 0.25 200MG 0 2022-04-01 2024-03-31 0
41 4141QF ADVIL 200MG TAB (GSK) IBUPROFEN 50'S A 0.2669 200MG 120 2024-04-01 2026-03-31 6
40 4141QG ADVIL 200MG TAB (GSK/COL) IBUPROFEN 24'S C 0.31 200MG 0 2022-04-01 2024-03-31 0
41 4141QG ADVIL 200MG TAB (GSK) IBUPROFEN (C) 24'S C 0.3251 200MG 120 2024-04-01 2026-03-31 6
40 4141QH ADVIL 200MG CAPLET (GSK/COL) IBUPROFEN 24'S C 0.31 200MG 0 2022-04-01 2024-03-31 0
41 4141QH ADVIL 200MG CAPLET (GSK) IBUPROFEN (C) 24'S C 0.3251 200MG 0 2024-04-01 2026-03-31 0
40 4141QM ADVIL LIQUI-GELS 200MG CAP (GSK/COL) IBUPROFEN 40'S C 0.32 200MG 0 2022-04-01 2024-03-31 0
41 4141QM ADVIL LIQUI-GELS 200MG CAP (GSK) IBUPROFEN (C) 40'S C 0.3384 200MG 0 2024-04-01 2026-03-31 0
40 4141QN ADVIL LIQUI-GELS 200MG CAP (GSK/COL) IBUPROFEN 20'S C 0.35 200MG 0 2022-04-01 2024-03-31 0
41 4141QN ADVIL LIQUI-GELS 200MG CAP (GSK) IBUPROFEN (C) 20'S C 0.3738 200MG 0 2024-04-01 2026-03-31 0
40 4141QS ADVIL PM 200MG CAPLET (GSK/COL) IBUPROFEN 20'S C 0.50 200MG 0 2022-04-01 2024-03-31 0
41 4141QS ADVIL PM 200MG CAPLET (GSK) IBUPROFEN (C) 20'S C 0.526 200MG 0 2024-04-01 2026-03-31 0
41 4141SD IBUVAN 400MG TAB (TPP) IBUPROFEN 10X10 A 0.0802 400MG 120 2024-04-01 2026-03-31 6
41 4141SF IBUPROFEN 200MG TAB (MCP) 10X10 A 0.078 200MG 120 2024-04-01 2026-03-31 6
41 4141SG IBUPROFEN 400MG TAB (MPI) 10X10 A 0.087 400MG 120 2024-04-01 2026-03-31 6
40 68719 IBUFEN 20MG/ML SUSP (CAR/COL) IBUPROFEN 125ML A 0.05 20MG/ML 100 2022-04-01 2024-03-31 6