Displaying 1 - 13 of 13
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 A501BE NUSAR 50MG TAB (EMC/COL) LOSARTAN 3X10 A 0.09 50MG 30 2022-04-01 2024-03-31 6
40 A501BH LOSARTAN 50MG TAB (HEA/RXP) 30'S A 0.07 50MG 30 2022-04-01 2024-03-31 6
40 A501EK LOSARTAN 50MG TAB (HEA/ATB) 30'S A 0.0717 50MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 A501HA LOSARTAN 50MG TAB (FSB) 100'S A 0.0666 50MG 30 2024-04-01 2026-03-31 6
40 A501HK COZAAR 50MG TAB (MSD/STO) LOSARTAN 15'S C 0.89 50MG 0 2022-04-01 2024-03-31 0
41 A501HK COZAAR 50MG TAB (MSD) LOSARTAN (C) 15'S C 0.8952 50MG 30 2024-04-01 2026-03-31 6
41 A501HZ PRESARTAN 50MG TAB (IPC) LOSARTAN 100'S A 0.0419 50MG 30 2024-04-01 2026-03-31 6
40 A5022 COZAAR 100MG TAB (MSD/STO) LOSARTAN 15'S C 1.22 100MG 0 2022-04-01 2024-03-31 0
41 A5022 COZAAR 100MG TAB (MSD) LOSARTAN (C) 15'S C 1.2323 100MG 30 2024-04-01 2026-03-31 6
40 A502B PMS-LOSARTAN 100MG TAB (PMS/COL) 100'S A 0.24 100MG 30 2022-04-01 2024-03-31 6
41 A502BL LOSARTAN 100MG TAB (KWA) 28'S A 0.0893 100MG 30 2024-04-01 2026-03-31 6
40 A502CY LOSARTAN 100MG TAB (MCP/AHI) 3X10 A 0.19 100MG 30 2022-04-01 2024-03-31 6
41 A502DM PRESARTAN 100MG TAB (IPC) LOSARTAN 100'S A 0.0614 100MG 30 2024-04-01 2026-03-31 6