Displaying 1 - 12 of 12
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 A9416 FLOMAX MR 0.4MG TAB (BOE/STO) TAMSULOSIN MR 30'S C 1.57 0.4MG 0 2022-04-01 2024-03-31 0
41 A9416 FLOMAX 0.4MG MR TAB (BOE) TAMSULOSIN MR (C) 30'S C 1.5866 0.4MG 60 2024-04-01 2025-02-28 6
40 A941AP TAMSULOSIN MR 0.4MG TAB (HEA/RXP) 30'S C 0.25 0.4MG 0 2022-04-01 2024-03-31 0
40 A941AZ VELTAM MR 0.4MG TAB (INP/AAL) TAMSULOSIN MR 30'S A 0.11 0.4MG 30 2022-04-01 2024-03-31 6
41 A941AZ VELTAM 0.4MG MR TAB (INP) TAMSULOSIN MR 30'S A 0.0399 0.4MG 60 2024-04-01 2026-03-31 6
40 A941BG TAMSULOSIN MR 0.4MG CAP (MCP/AHI) 3X10 A 0.08 0.4MG 30 2022-04-01 2024-03-31 PRICE CHANGE 6
41 A941BG TAMSULOSIN 0.4MG MR CAP (MCP) 3X10 A 0.0625 0.4MG 60 2024-04-01 2026-03-31 6
40 A941BJ TAMSULOSIN MR 0.4MG TAB (FSB/ATB) 100'S A 0.10 0.4MG 30 2022-04-01 2024-03-31 6
41 A941BJ TAMSULOSIN 0.4MG MR TAB (FSB) 100'S A 0.097 0.4MG 60 2024-04-01 2026-03-31 6
40 A941BK TAMSULOSIN MR 0.4MG TAB (HEA/ATB) (C) 30'S C 0.2653 0.4MG 2022-12-07 2024-03-31 No No Change Local Agent 0
41 A941BL TAMSULOSIN 0.4MG MR TAB (HEA) (C) 3X10 C 0.2283 0.4MG 60 2024-04-01 2026-03-31 6
40 A941S APO-TAMSULOSIN CR 0.4MG TAB (APO/COL) 100'S C 0.15 0.4MG 0 2022-04-01 2024-03-31 0