Displaying 1 - 20 of 27
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 5231AY NIZORAL 2% CR (JAC/STO) KETOCONAZOLE 40G C 22.26 2% 0 2022-04-01 2024-03-31 0
41 5231AY NIZORAL 2% CR (JAC) KETOCONAZOLE (C) 40G C 22.2631 2% 2 2024-04-01 2026-03-31 0
40 5231BA KETOZAL 2% CR (CAR/COL) KETOCONAZOLE 15G C 3.26 20MG/G 0 2022-04-01 2024-03-31 0
41 5231BA KETOZAL 2% CR (CAR) KETOCONAZOLE (C) 15G C 3.4795 2% 2 2024-04-01 2026-03-31 0
42 5231BA KETOZAL 2% CR (CAR) KETOCONAZOLE (C) 15G C 3.48 2% 2 2026-04-01 No No 0
40 5231BV KETOCONAZOLE 2% CR (HEA/RXP) 15G A 1.90 20MG/G 2 2022-04-01 2024-03-31 0
40 5231CC KETOCONAZOLE 2% CR (HEA/ATB) 15G A 1.9 2% 2022-12-07 2024-03-31 No No Change Local Agent 0
41 5231CC KETOCONAZOLE 2% CR (HEA) 15G A 1.9572 2% 2 2024-04-01 2026-03-31 0
41 5231EZ KETOMED 2% CR (TPP) KETOCONAZOLE 15G A 1.9028 2% 2 2024-04-01 2026-03-31 0
42 5231GC KETOCONAZOLE 2% CR (HEA) 15G A 1.88 2% 2 2026-04-01 No No Add to Contract as Cat A 0
42 5231GD KETOCONAZOLE 2% CR (HEA) 15G A 1.88 2% 2 2026-04-01 No No Add to Contract as Cat A 0
42 5231GE KETOCONAZOLE 2% CR (CHC) 20G A 1.88 2% 2 2026-04-01 No No Add to Contract as Cat A 0
40 5231ZG KETOZAL 2% CR (CAR/COL) KETOCONAZOLE 45G C 8.56 20MG/G 0 2022-04-01 2024-03-31 0
41 5231ZG KETOZAL 2% CR (CAR) KETOCONAZOLE (C) 45G C 8.6443 2% 2 2024-04-01 2026-03-31 0
42 5231ZG KETOZAL 2% CR (CAR) KETOCONAZOLE (C) 45G C 8.89 2% 2 2026-04-01 No No 0
40 5232BA KETOCONAZOLE 2% SHAMP (HEA/RXP) 100ML A 0.05 2% 100 2022-04-01 2024-03-31 6
40 5232BE KETOZAL 2% SHAMP (CAR/COL) KETOCONAZOLE 250ML C 0.08 2% 0 2022-04-01 2024-03-31 0
40 5232BJ KETOZAL 2% SHAMP (CAR/COL) KETOCONAZOLE 125ML C 0.08 2% 0 2022-04-01 2024-03-31 0
41 5232BJ KETOZAL 2% SHAMP (CAR) KETOCONAZOLE (C) 125ML C 0.0926 2% 100 2024-04-01 2026-03-31 6
42 5232BJ KETOZAL 2% SHAMP (CAR) KETOCONAZOL (C) 125ML C 0.09 2% 100 2026-04-01 No No 6