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
40 5841EU RAMIPRIL 5MG TAB (HEA/RXP) SCORED 10X10 A 0.08 5MG 45 2022-04-01 2024-03-31 6
40 5841GF ACAPRIL 5MG TAB (REM/SBI) RAMIPRIL 3x10 A 0.11 5MG 45 2022-04-01 2024-03-31 6
41 5841GF ACAPRIL 5MG TAB (REM) RAMIPRIL 3x10 A 0.0834 5MG 45 2024-04-01 2026-03-31 6
42 5841GF ACAPRIL 5MG TAB (REM) RAMIPRIL 3x10 A 0.10 5MG 45 2026-04-01 No No 6
40 5841HH APO-RAMIPRIL 5MG TAB (APO/COL) 100'S A 0.08 5MG 45 2022-04-01 2024-03-31 6
40 5841HP RAMIPRIL 5MG TAB (HEA/ATB) SCORED 10X10 A 0.0788 5MG 45 2022-07-12 2024-03-31 No No la 6
41 5841HZ RAMIPRIL 5MG TAB (MCP) 10X10 A 0.0788 5MG 45 2024-04-01 2026-03-31 6
42 5841JP CAR-RACE 5MG TAB (JLP) RAMIPRIL 100'S A 0.07 5MG 45 2026-04-01 No No 6
42 5841JS TRITACE 5MG TAB (GRM) RAMIPRIL 2X10 C 1.89 5MG 45 2026-04-01 No No 6
40 5842FQ ACAPRIL 10MG TAB (REM/SBI) RAMIPRIL 3x10 A 0.13 10MG 30 2022-04-01 2024-03-31 6
41 5842FQ ACAPRIL 10MG TAB (REM) RAMIPRIL 3x10 A 0.1015 10MG 30 2024-04-01 2026-03-31 6
42 5842FQ ACAPRIL 10MG TAB (REM) RAMIPRIL 3x10 C 0.19 10MG 30 2026-04-01 No No 6
40 5842FW APO-RAMIPRIL 10MG CAP (APO/COL) 3X10 A 0.12 10MG 30 2022-04-01 2024-03-31 6
40 5842GW RAMIPRIL 10MG TAB (KWA/ATB) 10X10 A 0.11 10MG 30 2022-04-01 2024-03-31 6
41 5842JB RAMIPRIL 10MG TAB (MCP) 10X10 A 0.0979 10MG 30 2024-04-01 2026-03-31 6
42 5842JN CAR-RACE 10MG TAB (JLP) RAMIPRIL 100'S A 0.07 10MG 30 2026-04-01 No No 6
42 5842JQ TRITACE 10MG TAB (GRM) RAMIPRIL 15'S C 3.08 10MG 30 2026-04-01 No No 6
40 5843CJ RAMIPRIL 2.5MG TAB (HEA/RXP) SCORED 10X10 A 0.06 2.5MG 45 2022-04-01 2024-03-31 6
40 5843CW ACAPRIL 2.5MG TAB (REM/SBI) RAMIPRIL 3x10 A 0.07 2.5MG 45 2022-04-01 2024-03-31 6
41 5843CW ACAPRIL 2.5MG TAB (REM) RAMIPRIL 3x10 A 0.0743 2.5MG 45 2024-04-01 2026-03-31 6