Displaying 1 - 20 of 24
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
41 55618 CANESTEN-3 200MG VAG PESS (BSP/AHI) CLOTRIMAZOLE 3'S A 9.1879 200MG 1 0
40 55618 CANESTEN-3 200MG VAG. P (BSP/AHI) CLOTRIMAZOL 3'S C 10.19 200MG 1 2022-04-01 2024-03-31 0
41 5561AA CANESTEN-3 200MG VAG OV (BSP/COL) CLOTRIMAZOLE 3'S A 9.1879 200MG 1 0
40 5561AA CANESTEN-3 200MG VAG OV (BSP/COL) CLOTRIMAZOLE 3'S A 9.87 200MG 1 2022-04-01 2024-03-31 0
41 5561AB CANESTEN 500MG VAG OV (BSP/COL) CLOTRIMAZOLE 1'S A 11.0364 500MG 1 0
40 5561AB CANESTEN 500MG VAG OV (BSP/COL) CLOTRIMAZOLE 1'S A 11.88 500MG 1 2022-04-01 2024-03-31 0
41 5561AC CANESTEN-6 1% VAG CR (BSP/COL) CLOTRIMAZOLE 35G A 8.7258 1% 1 0
40 5561AC CANESTEN-6 1% VAG CR (BSP/COL) CLOTRIMAZOLE 35G A 9.41 1% 1 2022-04-01 2024-03-31 0
41 5561AD CANESTEN-3 2% VAG CR (BSP/COL) CLOTRIMAZOLE 20G A 9.5957 2% 1 0
40 5561AD CANESTEN-3 2% VAG CR (BSP/COL) CLOTRIMAZOLE 20G C 10.36 2% 0 2022-04-01 2024-03-31 0
41 5561AG CANESTEN-6 1% VAG CR (BSP/AHI) CLOTRIMAZOLE 35G A 8.7258 1% 1 0
40 5561CK CLOTRI-DENK 100MG VAG OV (EDK/COL) CLOTRIMAZO 6'S A 4.35 100MG 1 2022-04-01 2024-03-31 0
41 5561CL CANESTEN-6 100MG VAG OV (BSP/COL) CLOTRIMAZOL 6'S C 8.9161 100MG 1 0
40 5561CL CANESTEN-6 100MG VAG OV (BSP/COL) CLOTRIMAZOL 6'S C 9.60 100MG 0 2022-04-01 2024-03-31 0
40 5561CM CANDID V 2% VAG CR (GLP/ALI) CLOTRIMAZOLE 30G A 6.80 2% 1 2022-04-01 2022-03-22 Delete from contract 0
40 5561CP CANDID V 2% VAG CR (GLP/ATB) CLOTRIMAZOLE 30G A 6.80 2% 1 2022-04-01 2024-03-31 Change Local Agent 0
41 5561CR CLOTRI-DENK 100MG VAG OV (EDK/SBI) CLOTRIMAZOLE 6'S A 4.3493 100MG 1 0
41 5561L CANESTEN-6 100MG VAG OV (BSP/AHI) CLOTRIMAZOLE 6'S C 8.9161 100MG 1 0
40 5561L CANESTEN-6 100MG VAG PESS (BSP/AHI) CLOTRIMAZ 6'S C 9.00 100MG 0 2022-04-01 2022-09-30 0
41 5561Q CANESTEN-3 2% VAG CR (BSP/AHI) CLOTRIMAZOLE 20G A 9.5957 2% 1 0