Displaying 1 - 12 of 12
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 27113 COROTROPE 5MG TAB (REM/SBI) PREDNISOLONE 100x10 A 0.05 5MG 90 2022-04-01 2024-03-31 6
41 27113 COROTROPE 5MG TAB (REM) PREDNISOLONE 100x10 A 0.0439 5MG 90 2024-04-01 2026-03-31 6
41 2711AS APO-PREDNISONE 5MG TAB (APO) 1000'S A 0.0416 5MG 90 2024-04-01 2026-03-31 6
40 2711ZV APO-PREDNISONE 5MG TAB (APO/COL) 1000'S A 0.04 5MG 90 2022-04-01 2024-03-31 6
40 27124 PRED CORT DS 2MG/ML SOLN (CAR/COL) PREDNISOLO 125ML A 0.16 2MG/ML 125 2022-04-01 2024-03-31 6
41 27124 PRED CORT DS 2MG/ML SOLN (CAR) PREDNISOL 125ML A 0.1783 2MG/ML 125 2024-04-01 2026-03-31 6
40 27133 COROTROPE 20MG TAB (REM/SBI) PREDNISOLONE 10x10 A 0.18 20MG 90 2022-04-01 2024-03-31 6
41 27133 COROTROPE 20MG TAB (REM) PREDNISOLONE 10x10 A 0.1677 20MG 90 2024-04-01 2026-03-31 6
40 2713E PREDNISOLONE 20MG TAB (MBL/AHI) 100'S A 0.1729 20MG 90 2023-03-20 2024-03-31 No No Add to Contract as Cat A 6
41 2713F PREDNISOLONE 20MG TAB (FSB) 10X10 A 0.1294 20MG 90 2024-04-01 2026-03-31 6
41 2713N CORTISOL 20MG TAB (ARP) PREDNISOLONE 100'S A 0.0821 20MG 90 2024-04-01 2024-09-30 6
41 2713R PREDNISOLONE 20MG TAB (ARP) 50'S A 0.082 20MG 90 2024-10-01 2026-03-31 6