Displaying 1 - 20 of 20
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 5811BA APO-VERAP 120MG TAB (APO/COL) 100'S A 0.22 120MG 60 2022-04-01 2024-03-31 6
40 5811CQ ISOPTIN 80MG TAB (ABB/PHA) VERAPAMIL 50'S C 0.17 80MG 0 2022-04-01 2024-03-31 0
40 5811CQ ISOPTIN 80MG TAB (ABB/PHA) VERAPAMIL (C) 50'S C 0.1724 80MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 5811FS ISOPTIN RETARD 120MG TAB (ABB/PHA) VERAPAMIL 20'S C 0.50 120MG 0 2022-04-01 2024-03-31 0
40 5811FS ISOPTIN RETARD 120MG TAB (ABB/PHA) VERAPAMIL (C) 20'S C 0.503 120MG 2022-04-01 2023-03-31 No No Delete from contract 0
41 5811KN APO-VERAP 80MG TAB (APO) 100'S A 0.1343 80MG 90 2024-04-01 2026-03-31 6
41 5811KP APO-VERAP 120MG TAB (APO) 100'S A 0.2232 120MG 60 2024-04-01 2026-03-31 6
41 5811KR ISOPTIN 80MG TAB (ABB) VERAPAMIL (C) 50'S C 0.1794 80MG 90 2024-04-01 2026-03-31 6
40 5811U CAVERIL 80MG TAB (REM/SBI) VERAPAMIL 2X10 A 0.12 80MG 90 2022-04-01 2024-03-31 6
40 5811ZB APO-VERAP 80MG TAB (APO/COL) 100'S A 0.13 80MG 90 2022-04-01 2024-03-31 6
40 5812P VERAPAMIL 2.5MG/ML INJ (SLS/AHI) 10X2ML BQ 6.52 2.5MG/ML 0 2022-04-01 2024-03-31 0
41 5812P VERAPAMIL 2.5MG/ML INJ (SLS) (BQ) 10X2ML BQ 3.9851 2.5MG/ML 30 2024-04-01 2026-03-31 0
40 5812W VERAPAMIL 2.5MG/ML INJ (LAF/AHI) 100X2ML BQ 2.5MG/ML 0 2022-04-01 2024-03-31 Change Local Agent 0
41 5812W VERAPAMIL 2.5MG/ML INJ (LAF) (BQ) 100X2ML BQ 3.6697 2.5MG/ML 30 2024-04-01 2026-03-31 0
40 5813BH ISOPTIN SR 240MG TAB (ABB/PHA) VERAPAMIL 20'S C 0.97 240MG 0 2022-04-01 2024-03-31 0
40 5813BH ISOPTIN SR 240MG TAB (ABB/PHA) VERAPAMIL (C) 20'S C 0.965 240MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 5813FB VERAPAMIL SR 240MG TAB (KWA/ATB) 10X10 A 0.21 240MG 60 2022-04-01 2024-03-31 6
41 5813FB VERAPAMIL 240MG SR TAB (KWA) 10X10 A 0.208 240MG 60 2024-04-01 2026-03-31 6
40 5814BW VERAPAMIL 40MG TAB (REM/SBI) 2X10 A 0.10 40MG 90 2022-04-01 2024-03-31 6
41 5814F VERAPAMIL 40MG TAB (TEV) 84'S A 0.0786 40MG 90 2024-04-01 2026-03-31 6