Displaying 1 - 10 of 10
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 4141AF NAPROXEN 500MG TAB (CPP) 28'S A 0.1495 500MG 28 2024-04-01 2026-03-31 6
40 4141G APO-NAPROXEN 250MG TAB (APO/COL) 100'S A 0.11 250MG 28 2022-04-01 2024-03-31 6
40 4141JP PRIAXEN 500MG TAB (REM/SBI) NAPROXEN 10x10 A 0.18 500MG 28 2022-04-01 2024-03-31 6
41 4141JP PRIAXEN 500MG TAB (REM) NAPROXEN 10x10 A 0.205 500MG 28 2024-04-01 2026-03-31 6
40 4141QU ALEVE 220MG TAB (BSP/COL) NAPROXEN 36'S C 0.19 220MG 0 2022-04-01 2024-03-31 0
41 4141QU ALEVE 220MG TAB (BSP) NAPROXEN (C) 36'S C 0.182 220MG 0 2024-04-01 2026-03-31 0
41 4141RJ APO-NAPROXEN 500MG TAB (APO) 100'S A 0.1862 500MG 28 2024-04-01 2026-03-31 6
41 4141RP APO-NAPROXEN 250MG TAB (APO) 100'S A 0.1082 250MG 28 2024-04-01 2026-03-31 6
41 4141SA ALEVE 220MG CAPLET (BSP) NAPROXEN (C) 36'S C 0.182 220MG 0 2024-04-01 2026-03-31 0
40 4142MB ALEVE 220MG CAPLET (BSP/AHI) NAPROXEN (C) 36'S C 0.1889 220MG 2023-02-21 2024-03-31 No No Add to Contract as Cat C