Displaying 1 - 18 of 18
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 3961AD DEPAKOTE ER 250MG TAB (ABB/PHA) VALPROIC ACID 100'S A 0.71 250MG 90 2022-04-01 2024-03-31 6
40 3961AD DEPAKOTE ER 250MG TAB (ABB/PHA) VALPROIC ACID 100'S A 0.7136 250MG 2022-04-01 2023-03-31 No No Delete from contract 6
40 3961AP DEPAKOTE 250MG TAB (ABB/PHA) VALPROIC ACID 30'S A 0.71 250MG 90 2022-04-01 2024-03-31 6
40 3961AP DEPAKOTE 250MG TAB (ABB/PHA) VALPROIC ACID 30'S A 0.714 250MG 2022-04-01 2023-03-31 No No Delete from contract 6
41 3961AV DEPAKOTE 250MG TAB (ABB/SBI) VALPROIC ACID 30'S A 0.7475 250MG 90 6
40 3961AV DEPAKOTE 250MG TAB (ABB) VALPROIC ACID 30 A 0.714 250MG 90 0000-00-00 0000-00-00 CHANGE OF DISTRIBUTOR 6
41 3961AW DEPAKOTE ER 250MG ER TAB (ABB/SBI) VALPROIC ACID 30'S A 0.8073 250MG 90 6
41 3961AX DEPAKENE 250MG CAP (ABB/SBI) VALPROIC ACID 50'S C 0.8671 250MG 90 6
40 3962H DEPAKENE 50MG/ML SYR (ABB/PHA) VALPROIC ACID 240ML A 0.12 50MG/ML 900 2022-04-01 2024-03-31 6
40 3962H DEPAKENE 50MG/ML SYR (ABB/PHA) VALPROIC ACID 240ML A 0.1187 50MG/ML 2022-04-01 2023-03-31 No No Delete from contract 6
41 3962R DEPAKENE 50MG/ML SYR (ABB/SBI) VALPROIC ACID 8OZ A 0.1244 50MG/ML 900 6
40 3962R DEPAKENE 50MG/ML SYR (ABB)VALPROIC ACID 8OZS A 0.12 50MG/ML 900 0000-00-00 6
40 39654 DEPAKOTE ER 500MG TAB (ABB/PHA) VALPROIC ACID 100'S A 0.71 500MG 120 2022-04-01 2024-03-31 6
40 39654 DEPAKOTE ER 500MG TAB (ABB/PHA) VALPROIC ACID 100'S A 0.7136 500MG 2022-04-01 2023-03-31 No No Delete from contract 6
40 39659 DEPAKOTE 500MG TAB (ABB/PHA) VALPROIC ACID 30'S A 1.52 500MG 120 2022-04-01 2024-03-31 6
40 39659 DEPAKOTE 500MG TAB (ABB/PHA) VALPROIC ACID 30'S A 1.5223 500MG 2022-04-01 2023-03-31 No No Delete from contract 6
41 3965C DEPAKOTE 500MG TAB (ABB/SBI) VALPROIC ACID 30'S A 1.5948 500MG 120 6
41 3965D DEPAKOTE 500MG ER TAB (ABB/SBI) VALPROIC ACID 30'S A 0.897 500MG 150 6