Displaying 1 - 20 of 41
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 1131DV CRESTOR 5MG TAB (AZN/COL) ROSUVASTATIN 30'S C 0.97 5MG 0 2022-04-01 2024-03-31 0
41 1131DV CRESTOR 5MG TAB (AZN) ROSUVASTATIN (C) 30'S C 0.9668 5MG 30 2024-04-01 2026-03-31 6
42 1131DV CRESTOR 5MG TAB (AZN) ROSUVASTATIN (C) 30'S C 0.97 5MG 30 2026-04-01 No No 6
40 1131EP ROSUVASTATIN 5MG TAB (MSN/AHI) 30'S A 0.08 5MG 30 2022-04-01 2022-09-30 6
40 1131FD ROSUVASTATIN 5MG TAB (MCP/AHI) 3X10 A 0.07 5MG 30 2022-04-01 2024-03-31 6
41 1131FD ROSUVASTATIN 5MG TAB (MCP) 3X10 A 0.0725 5MG 30 2024-04-01 2026-03-31 6
42 1131HA ROSELLION 5MG TAB (STL) ROSUVASTATIN 3X10 A 0.03 5MG 30 2026-04-01 No No 6
42 1131HN ROVISTA 5MG TAB (GET) ROSUVASTATIN 30'S A 0.06 5MG 30 2026-04-01 No No 6
40 1132ER CRESTOR 10MG TAB (AZN/COL) ROSUVASTATIN 30'S C 0.99 10MG 0 2022-04-01 2024-03-31 0
41 1132ER CRESTOR 10MG TAB (AZN) ROSUVASTATIN (C) 30'S C 0.9849 10MG 30 2024-04-01 2026-03-31 6
42 1132ER CRESTOR 10MG TAB (AZN) ROSUVASTATI (C) 30'S C 0.99 10MG 30 2026-04-01 No No 6
40 1132FV CONSIVAS 10MG TAB (EMC/COL) ROSUVASTATIN 100'S A 0.13 10MG 30 2022-04-01 2024-03-31 6
40 1132FW ROSUVASTATIN 10MG TAB (MSN/AHI) 30'S A 0.14 10MG 30 2022-04-01 2022-09-30 6
41 1132GL ROSUVASTATIN 10MG TAB (MSN) 30'S A 0.0861 10MG 30 2024-04-01 2026-03-31 6
40 1132GM ROSUVASTATIN 10MG TAB (RYV/ATB) 30'S A 0.13 10MG 30 2022-04-01 2024-03-31 6
40 1132GQ ROSUMAC 10MG TAB (MCP/AHI) ROSUVASTATIN 3X10 A 0.09 10MG 30 2022-04-01 2024-03-31 6
41 1132HF ROSUVASTATIN 10MG TAB (HEA) 3X10 A 0.087 10MG 30 2024-04-01 2026-03-31 6
41 1132HV RSTAT 10MG TAB (TPP) ROSUVASTATIN 10X10 A 0.0495 10MG 30 2024-04-01 2026-03-31 6
42 1132HV RSTAT 10MG TAB (TPP) ROSUVASTATIN 10X10 A 0.05 10MG 30 2026-04-01 No No 6
42 1132JP ROSELLION 10MG TAB (STL) ROSUVASTATIN 3X10 A 0.04 10MG 30 2026-04-01 No No 6