Displaying 1 - 16 of 16
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 1431AZ TRAMADOL-DENK EFFERV 50MG TAB (EDK/COL) TRAMA 10'S C 0.87 50MG 0 2022-04-01 2024-03-31 0
40 1431BD TADOL RETARD 100MG TAB (KRK/AHI) TRAMADOL 30'S A 0.54 100MG 28 2022-04-01 2024-03-31 6
40 1431BF TRAMADOL 50MG TAB (KWA/ATB) 9X10 A 0.16 50MG 56 2022-04-21 2022-09-30 6
40 1431BL TADOL RETARD 100MG TAB (KRK/AHI) TRAMADOL 30'S A 0.54 100MG 28 2022-04-01 2022-09-30 6
41 1431BL TADOL RETARD 100MG ER TAB (KRK) TRAMADOL 30'S A 0.5437 100MG 28 2024-04-01 2026-03-31 6
40 1431BN TRAMADOL 50MG TAB (HEA/RXP) 10X10 A 0.07 50MG 56 2022-04-01 2024-03-31 6
40 1431BT TRAMADOL 50MG CAP (RYV/ATB) 90'S A 0.06 50MG 56 2022-04-01 2024-03-31 6
40 1431BU TRAMADOL-DENK RETARD 100MG TAB (EDK/COL) TRAM 30'S A 0.41 100MG 28 2022-04-01 2024-03-31 6
40 1431BX TRAMADOL 50MG TAB (HEA/ATB) 10X10 A 0.0655 50MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 1431BY APO-TRAMADOL 50MG TAB (APO) TRAMADO 100'S A 0.0726 50MG 56 2024-04-01 2026-03-31 6
40 14324 TRAMADOL 50MG/ML INJ (RTM/PHA) 10X1ML B 1.61 50MG/ML 0 2022-04-01 2024-03-31 0
41 14324 TRAMADOL 50MG/ML INJ (RTM) (B) 10X1ML B 1.718 50MG/ML 30 2024-04-01 2026-03-31 6
40 1432AU TRAMADOL DENK 50MG/ML INJ (EDK/COL) TRAMADOL 5X2ML B 2.15 50MG/ML 0 2022-04-01 2024-03-31 0
40 1432AV TRAMADOL 50MG/ML INJ (BAX/STO) 5X2ML C 3.22 50MG/ML 0 2022-04-01 2024-03-31 0
41 1432AY TRAMADOL 50MG/ML INJ (LAF) (B) 100X1ML B 1.612 50MG/ML 30 2024-04-01 2026-03-31 6
40 1432T TRAMADOL 50MG/ML INJ (RTM/PHA) 10X2ML B 2.47 50MG/ML 0 2022-06-13 2024-03-31 Add to Contract as Cat B 6