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
40 A6219 TRANEXAMIC ACID 500MG TAB (REM/SBI) 2x10 BQ 0.74 500MG 0 2022-04-01 2024-03-31 0
41 A6219 TRANEXAMIC ACID 500MG TAB (REM) (BQ) 2x10 BQ 0.598 500MG 30 2024-04-01 2026-03-31 6
42 A6219 TRANEXAMIC ACID 500MG TAB (REM) 2x10 B 0.60 500MG 30 2026-04-01 No No 6
40 A621D PAUSE 500MG TAB (EMC/COL) TRANEXAMIC ACID 30'S BQ 0.48 500MG 0 2022-04-01 2024-03-31 0
41 A621D PAUSE 500MG TAB (EMC) TRANEXAMIC ACID (BQ) 30'S BQ 0.589 500MG 30 2024-04-01 2026-03-31 6
40 A622A TRANEXAMIC ACID 100MG/ML INJ (SLS/AHI) 25X5ML BQ 3.07 100MG/ML 0 2022-04-01 2022-06-30 0
41 A622A TRANEXAMIC ACID 100MG/ML INJ (SLS) (BQ) 25X5ML BQ 2.5487 100MG/ML 15 2024-04-01 2026-03-31 6
40 A622B TRANEXAMIC ACID 100MG/ML INJ (MON/PHA) 5X5ML BQ 1.96 100MG/ML 0 2022-04-01 2024-03-31 0
42 A622B TRANEXAMIC ACID 100MG/ML INJ (MON) 5X5ML BQ 1.50 100MG/ML 15 2026-04-01 No No 0
42 A622F TRAMIC 100MG/ML INJ (JLP) TRANEXAMIC ACID 50X5ML BQ 1.03 100MG/ML 15 2026-04-01 No No 0