CONTRACT UPDATE June 08, 2012
|
|
- Nickolas Terry
- 5 years ago
- Views:
Transcription
1 CONTRACT UP June 08, 2012 ADDS CHLORDIAZEPOXIDE/CLI CAPSULE 5/2.5MG $ BI-COASTAL PHARMACEUTICAL ADDS CHLORDIAZEPOXIDE/CLI CAPSULE 5/2.5MG $63.53 BI-COASTAL PHARMACEUTICAL ADDS CHLORDIAZEPOXIDE/CLI CAPSULE 5/2.5MG $26.75 BI-COASTAL PHARMACEUTICAL ADDS TGO SPRAY 40ML $98.60 BI-COASTAL PHARMACEUTICAL ADDS SODIUM SULFA/SULFUR SUSPENSION 10%/5% 30GM $ BIOCOMP PHARMA ADDS SODIUM SULFA/SULFUR LOTION 10%/5% 30GM $99.64 BIOCOMP PHARMA ADDS SODIUM SULFA/SULFUR LOTION 10%/5% 60GM $ BIOCOMP PHARMA ADDS DESMOPRESSIN ACETATE NASAL SPR 0.01% 5ML $ CARACO PHARMACEUTICAL ADDS CHOLESTYRAMINE POWDER REG 4GM/9GM 60/UD PACK $43.89 UPSHER-SMITH LABS ADDS CHOLESTYRAMINE POWDER REG 4GM/9GM 378GM/CAN $.74 UPSHER-SMITH LABS ADDS NAPROXEN SODIUM CAPLET 0MG $3.11 WATSON PHARMA
2 CONTRACT UP June 08, 2012 ADDS FENTANYL CITRATE INJECTION 0.05MG/ML 2MLX $39.59 WEST-WARD PHARMACEUTICAL ADDS MIDAZOLAM INJECTION 1MG/ML 2MLX $6.70 WEST-WARD PHARMACEUTICAL ADDS MIDAZOLAM INJECTION 1MG/ML 2MLX $16.86 WEST-WARD PHARMACEUTICAL ADDS MORPHINE SULFATE INJECTION 10MG/ML 10ML $6.64 WEST-WARD PHARMACEUTICAL DELETION AMLACTIN XL LOTION 160G $21.72 UPSHER-SMITH LABS DELETION PRIMIDONE TABLET 50MG $10. WEST-WARD PHARMACEUTICAL DECREASE OLANZAPINE TABLET 5MG $16.30 CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 15MG $11.00 CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 15MG $36.00 CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 20MG $ CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 20MG $14.75 CARACO PHARMACEUTICAL
3 CONTRACT UP June 08, 2012 DECREASE OLANZAPINE TABLET 20MG $49.00 CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 2.5MG $4.35 CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 15MG $ CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 5MG $5.05 CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 10MG $ CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 7.5MG $ CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 10MG $24.15 CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 10MG $7.33 CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 2.5MG $ CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 7.5MG $6.05 CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 7.5MG $19.75 CARACO PHARMACEUTICAL
4 CONTRACT UP June 08, 2012 DECREASE OLANZAPINE TABLET 5MG $ CARACO PHARMACEUTICAL DECREASE OLANZAPINE TABLET 2.5MG $14.50 CARACO PHARMACEUTICAL DECREASE LISINOPRIL/HCTZ TABLET 10/12.5MG $23.29 WATSON PHARMA DECREASE LISINOPRIL/HCTZ TABLET 20/12.5MG $6.00 WATSON PHARMA DECREASE LISINOPRIL/HCTZ TABLET 20/12.5MG $29.06 WATSON PHARMA DECREASE LISINOPRIL/HCTZ TABLET 20/25MG $6.65 WATSON PHARMA DECREASE LISINOPRIL/HCTZ TABLET 20/25MG $31.59 WATSON PHARMA DECREASE LISINOPRIL/HCTZ TABLET 10/12.5MG $5.18 WATSON PHARMA DECREASE METOPROLOL SUCCINATE ER TABLET 25MG $64.12 WATSON PHARMA DECREASE METOPROLOL SUCCINATE ER TABLET 200MG $1, WATSON PHARMA DECREASE METOPROLOL SUCCINATE ER TABLET 200MG $ WATSON PHARMA
5 CONTRACT UP June 08, 2012 DECREASE METOPROLOL SUCCINATE ER TABLET 100MG $ WATSON PHARMA DECREASE METOPROLOL SUCCINATE ER TABLET 50MG $ WATSON PHARMA DECREASE METOPROLOL SUCCINATE ER TABLET 25MG $ WATSON PHARMA DECREASE METOPROLOL SUCCINATE ER TABLET 50MG $64.12 WATSON PHARMA DECREASE FOLIC ACID TABLET 1MG $5.83 WEST-WARD PHARMACEUTICAL DECREASE LISINOPRIL TABLET 10MG $2.66 WEST-WARD PHARMACEUTICAL DECREASE LITHIUM CARBONATE CAPSULE 300MG $32.52 WEST-WARD PHARMACEUTICAL DECREASE LITHIUM CARBONATE CAPSULE 600MG $19.43 WEST-WARD PHARMACEUTICAL DECREASE NAPROXEN TABLET 375MG $5.81 WEST-WARD PHARMACEUTICAL DECREASE NAPROXEN TABLET 500MG $6.63 WEST-WARD PHARMACEUTICAL DECREASE CLARITHROMYCIN TABLET 250MG $7.38 WOCKHARDT USA INC
6 CONTRACT UP June 08, 2012 DECREASE CLARITHROMYCIN TABLET 500MG $7.38 WOCKHARDT USA INC DECREASE DIVALPROEX SODIUM ER TABLET 250MG $ WOCKHARDT USA INC DECREASE DIVALPROEX SODIUM ER TABLET 250MG $29.00 WOCKHARDT USA INC DECREASE RANITIDINE TABLET 150MG $11.72 WOCKHARDT USA INC DECREASE RANITIDINE TABLET 300MG $12.73 WOCKHARDT USA INC INCREASE CAREMATES NITRILE GLOVES MED PF $9.01 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES NITRILE GLOVES MED PF $4.78 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES NITRILE GLOVES LRG PF $4.78 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES NITRILE GLOVES SML PF $9.01 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES NITRILE GLOVES XLG PF $9.01 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES NITRILE GLOVES LRG PF $9.01 SHEPARD MEDICAL PRODUCTS
7 CONTRACT UP June 08, 2012 INCREASE CAREMATES NITRILE GLOVES SML PF $4.78 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VINLY EXAM GLOVES LRG POWDER $6.35 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VINYL EXAM GLOVES XLG PF $6.42 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VINYL EXAM GLOVES SML POWDER $3.33 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VINYL EXAM GLOVES MED POWDER $3.33 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VINYL EXAM GLOVES LRG POWDER $3.33 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VINYL EXAM GLOVES SML POWDER $6.35 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VINYL EXAM GLOVES MED POWDER $6.35 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VINYL EXAM GLOVES XLG POWDER $6.35 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VINYL EXAM GLOVES SML PF $6.42 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VINYL EXAM GLOVES LGE PF $6.42 SHEPARD MEDICAL PRODUCTS
8 CONTRACT UP June 08, 2012 INCREASE CAREMATES VINYL EXAM GLOVES MED PF $6.42 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VYTRILE GLOVES XLG PF $6.70 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VYTRILE GLOVES MED PF $3.49 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VYTRILE GLOVES LRG PF $3.49 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VYTRILE GLOVES SML PF $6.70 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VYTRILE GLOVES LRG PF $6.70 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VYTRILE GLOVES SML PF $3.49 SHEPARD MEDICAL PRODUCTS INCREASE CAREMATES VYTRILE GLOVES MED PF $6.70 SHEPARD MEDICAL PRODUCTS INCREASE BUSPIRONE TABLET 15MG $3.89 WATSON PHARMA INCREASE BUSPIRONE TABLET 5MG $29.67 WATSON PHARMA INCREASE BUSPIRONE TABLET 10MG $40.99 WATSON PHARMA
9 CONTRACT UP June 08, 2012 INCREASE BUSPIRONE TABLET 15MG $30.17 WATSON PHARMA INCREASE BUSPIRONE TABLET 15MG $11.33 WATSON PHARMA INCREASE HYDROXYZINE PAMOATE CAPSULE 50MG $30.85 WATSON PHARMA INCREASE HYDROXYZINE PAMOATE CAPSULE 50MG $6.98 WATSON PHARMA INCREASE HYDROXYZINE PAMOATE CAPSULE 25MG $5.42 WATSON PHARMA INCREASE HYDROXYZINE PAMOATE CAPSULE 25MG $25.74 WATSON PHARMA INCREASE LABETALOL TABLET 100MG $8.12 WATSON PHARMA INCREASE LABETALOL TABLET 100MG $38.24 WATSON PHARMA INCREASE LABETALOL TABLET 200MG $11.76 WATSON PHARMA INCREASE LABETALOL TABLET 200MG $55.76 WATSON PHARMA INCREASE LABETALOL TABLET 300MG $15.65 WATSON PHARMA
CONTRACT UPDATE July 20, 2012
CONTRACT UP July 20, 2012 ADDS AMPHETAMINE SALT MIX ER CAPSULE 10MG 100 002-3059-11 $422.45 ACTAVIS ADDS AMPHETAMINE SALT MIX ER CAPSULE 20MG 100 002-3060-11 $422.45 ACTAVIS ADDS AMPHETAMINE SALT MIX ER
More informationAll Pharmacy and Prescribing Providers. Subject: State Maximum Allowable Cost (MAC) Updates
INDIANA HEALTH COVERAGE PROGRAMS P R O V I D E R B U L L E T I N B T 2 0 0 7 1 2 M A Y 2 9, 2 0 0 7 To: All Pharmacy and Prescribing Providers Subject: State Maximum Allowable Cost (MAC) Updates Effective
More informationCONTRACT UPDATE June 15, 2012
CONTRACT UP June 15, 2012 ADDS HYDRALAZINE INJECTION 20MG/ML 1MLX25 17478-0934-15 $143.03 AKORN 06-15-2012 12-31-2013 178739 10106085 ADDS BENZONATATE CAPSULE 100MG 100 65162-0536-10 $9.95 AMNEAL PHARMACEUTICALS
More informationProfessionalism & Service with Great Prices
Acyclovir Capsules 200mg Viruses 30 90 Albuterol Syrup 2mg/5ml Asthma 120 360 Albuterol Sulfate Solution 0.05% * Asthma ----- ----- 20 60 Albuterol Sulfate Solution 0.083% Asthma ----- ----- 75 225 Alendronate
More informationAlaska Medicaid 90 Day** Generic Prescription Medication List
1 ACYCLOVIR 200 MG CAPSULE BUPROPION HCL 150 MG TAB ER 24H ACYCLOVIR 200 MG/5ML BUPROPION HCL 150 MG TABLET ER ACYCLOVIR 400 MG TABLET BUPROPION HCL 150 MG TABLET ER ACYCLOVIR 800 MG TABLET BUPROPION HCL
More informationTennCare Program TN MAC Price Change List As of: 03/30/2017
1 TN List Run : 03/30/17 Old PRAZOSIN HCL 5 MG CAPSULE ORAL 03/29/2017 1.11209 1.12560 ( 1.2) CAPTOPRIL 12.5 MG TABLET ORAL 07/07/2015 1.07191 1.10416 ( 2.9) ISOSORBIDE DINITRATE 5 MG TABLET ORAL 03/29/2017
More informationCalgary Long Term Care Formulary. Pharmacy & Therapeutics. February 2015
Calgary Long Term Care Formulary Pharmacy & Therapeutics February 2015 Highlights http://www.albertahealthservices.ca/4070.aspx 1 Contents February 2016... 3 Added Product(s)... 3 Not Listed, Delisted
More informationPRESCRIPTION SAVINGS CLUB FLAT- PRICED GENERIC DRUG LIST (EMDEON) Effective August 20, 2014
PRESCRIPTION SAVINGS CLUB FLAT- PRICED GENERIC DRUG LIST (EMDEON) Effective August 20, 2014 The Prescription Savings Club provides its members with significant savings on prescription medications. The
More informationCash Wise Pharmacy $4 GENERIC MEDICATION FORMULARY. Cash Wise Pharmacy s $4 generic medication formulary is sorted by medical condition.
Cash Wise Pharmacy $4 GENERIC MEDICATION FORMULARY Cash Wise Pharmacy s $4 generic medication formulary is sorted by medical condition. 30- day 90- day 30- day 90- day quantity quantity quantity quantity
More informationRECALL NOTICES 2014 PLEASE CHECK YOUR RECALL LETTER TO VERIFY PRODUCT NDC LOT NUMBERS
RECALL NOTICES 2014 PLEASE CHECK YOUR RECALL LETTER TO VERIFY PRODUCT NDC LOT NUMBERS Aug 28, 2014 Fougera recalls to the WHOLESALE Level Fluocinonde Gel USP 60gm 00168-0135-60 Multiple Lots Fluocinonde
More information90-Day Generic Drug Discount List Treatment Medication Strength Dose Quantity Price Allergy/Cold&Flu Benzonatate 100mg Tablet 42 $15.
90-Day Generic Drug Discount List Treatment Medication Strength Dose Quantity Price Allergy/Cold&Flu Benzonatate 100mg Tablet 42 $15.00 Allergy/Cold&Flu C-Phen Drops n/a Drops 90 $15.00 Allergy/Cold&Flu
More informationOffice of Medicaid Policy and Planning Over-the-Counter Drug Formulary ANALGESICS ANTACIDS ANTI-FLATULENTS
Acetaminophen 80mg/0.8mL Suspension Drops Acetaminophen 120mg Suppository Acetaminophen 160mg/5mL Suspension Acetaminophen 325mg Suppository Acetaminophen 325mg Tablet, Caplet, or Capsule Acetaminophen
More informationGuantes De Látex / Latex Exam Gloves. Pais Origen: USA / EE. UU. Número de Registro: PMQ-9092 MED-HEALTH OMNI HEALTH. Marco: OMNI HEALTH
Guantes De Látex / Latex Exam Gloves Marco: MED-HEALTH Marco: OMNI HEALTH Pais Origen: USA / EE. UU. Número de Registro: PMQ-9092 Codigo / Item # Descripción / Product U/M #1 U/M #2 U/M #3 GLV-001 Guantes
More informationMemorial Hermann Advantage HMO February 2019 Formulary Addendum
Memorial Hermann Advantage HMO February 2019 Formulary Addendum Changes may have occurred since the printing of your current Memorial Hermann Advantage HMO Formulary. Medications that may have been added
More informationRiesbeck's Pharmacy Reward Club Generic Medication List February 2018 $4 30 Day Supply
Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Inj 50MG/ML 1 3 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml
More informationRiesbeck's Pharmacy Reward Club Generic Medication List October 2017
Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Inj 50MG/ML 1 3 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml
More informationRECALL NOTICES 2013 PLEASE CHECK YOUR RECALL LETTER TO VERIFY PRODUCT NDC LOT NUMBERS
RECALL NOTICES 2013 PLEASE CHECK YOUR RECALL LETTER TO VERIFY PRODUCT NDC LOT NUMBERS Dec 13, 2013 DR. Reddy recalls to the RETAIL Level Metoprolol Succinate ER Tablets 50mg 100 55111-0467-01 C207416 C207420
More informationPenicillin VK Vcillin K 250gm/5ml Penicillin VK Vcillin K 250mg Sulfameth/Trimeth Bactrim 400/80mg Sulfameth/Trimeth Bactrim/Septra DS 800/160mg
Antibiotic Amoxicillin Amoxil 250mg Amoxicillin Amoxil 500mg Amoxicillin Amoxil 125mg/5ml Amoxicillin Amoxil 250mg/5ml Amoxicillin Bid Amoxil 400mg/5ml Amoxicillin Bid Amoxil 200mg/5ml Ampicillin Polycillin
More informationHundreds of Choices. More Savings Every Day. 8 and $ 12 Generics Also Available. Based on 30-day supply at commonly prescribed doses
4$ Hundreds of Choices. More Savings Every Day. $ 8 and $ 12 Generics Also Available. Based on 30-day supply at commonly prescribed doses EFF. DATE 09/2017 List subject to change ALLERGIES, COLD AND FLU
More informationNIT 97 - APPROVED DRUG LIST
1 EDL0422 Name of the and Strength Chlorine based compound NADCC Tablets 75 mg With Available Chloroine 45 mg BIS* 1 pack of 1000 tablets VAT 440748 71.0000 74.5500 ADHISH INDUSTRIES 2 120092 Cloxacillin
More informationUpper Peninsula Health Plan Advantage (HMO) (List of Covered Drugs)
Analgesics Opioid Analgesics, Long-acting fentanyl 100 mcg/hr patch td72 morphine sulfate 30 mg tablet er Opioid Analgesics, Short-acting fentanyl citrate 200 mcg lozenge hd hydrocodone/acetaminophen 5
More informationAlprazolam 0.25mg, 0.5mg, 1mg tablets
Presbyterian Senior Care (HMO) / Presbyterian MediCare PPO Quantity Limits Effective November 1, 2014 For the most recent list of drugs or other questions, please contact the Presbyterian Customer Service
More informationEveryday Low Cost Generics
Antibiotics Antifungal Antiviral Arthritis/ Pain 30 Day Qty* Free AMOXICILLIN 125 MG/5 ML (150 ML BOTTLE) AMOXICILLIN 125 MG/5 ML (100 ML BOTTLE) AMOXICILLIN 125 MG/5 ML (80 ML BOTTLE) AMOXICILLIN 200
More informationAdvance Notification of Amendments to the December 2018 Drug Tariff
Advance Notification of Amendments to the December 2018 Drug Tariff ADDITIONS Zero Discount Fondaparinux sodium solution for injection pre-filled (ALL) FreeStyle Libre Sensor Oxygen CD cylinder Oxygen
More informationEnforcement Report - Week of November 1, 2017
Enforcement Report - Week of November 1, 2017 Class I Event 77841 06/22/2017 10/24/2017 Press Release Vitility 7283 Florin Mall Dr Apt #3 Sacramento CA United States Nationwide in the USA MAN OF STEEL
More informationPORTFOLIO Q October 2015 Availability of products is subject to patent restrictions in countries where applicable patents are in effect 1/6
Abiraterone Tablet 250 mg Q4 2016 Acetylsalicylic Acid Tablet GR 100 mg Available Aciclovir Cream 5% - 2 Grs Available Alendronic Acid Tablet 70 mg Available Amikacin Solution for injection 50 mg/ml; 125mg/ml;
More informationEnforcement Report - Week of May 2, 2018
Enforcement Report - Week of May 2, 2018 Class I Event 79555 03/15/2018 04/24/2018 Press Release Bayer HealthCare Pharmaceuticals, Inc. 100 Bayer Blvd Whippany NJ United States Nationwide in the USA All
More informationAetna Better Health of Illinois Medicaid Formulary Updates
October 2017 o DOXYLAMINE SUCCINATE 25mg-QL o DULOXETINE CAP 40MG DR-QL o GUANFACIN ER TABS (all strengths)-ql o TOBRAMYCIN NEBU SOLUTION- PA August 2017 Aetna Better Health of Illinois Medicaid 2017 Formulary
More informationGENERIC DISCOUNT FORMULARY March 2015
Antibiotic Amoxicillin Amoxil 250mg Amoxicillin Amoxil 500mg Amoxicillin Amoxil 125mg/5ml Amoxicillin Amoxil 250mg/5ml Amoxicillin Bid Amoxil 400mg/5ml Amoxicillin Bid Amoxil 200mg/5ml Ampicillin Polycillin
More informationRiesbeck's Pharmacy Reward Club Generic Medication List September 2017
Drug Category Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Riesbeck's Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml 2160ml Hydroxyzine
More informationSupply should only occur if requesting signature is on approved list held by the issuing pharmacy
Trust Approved Drugs List March 2016 The following is the list of drugs that are approved by the EEAST Medicines Management Group for use by EEAST clinical staff. Pharmacies are advised that this is the
More informationBT item # Description Mfctr ETA for next release Date Mfctr expects back orders to clear Possible sub ** Description. mfctr allocation.
September 28, 2018 Pharmaceutical Backorder Report BT item # Description Mfctr ETA for next release Date Mfctr expects back orders to clear Possible sub ** Description 0542-02 Adenosine 6mg, 2ml Vial (limited
More informationRajasthan Medical Services Corporation Limited, Jaipur
Rajasthan Medical Services Corporation Limited, Jaipur List of Drugs- Purchase order placed to successful Bidders Tendered on 05/07/2011 S.No. Name of Drug 1 Atropine Sulphate Injection 0.6 mg /ml (SC/IM/IV
More informationRECALL NOTICES 2013 PLEASE CHECK YOUR RECALL LETTER TO VERIFY PRODUCT NDC LOT NUMBERS
RECALL NOTICES 2013 PLEASE CHECK YOUR RECALL LETTER TO VERIFY PRODUCT NDC LOT NUMBERS April 29, 2013 Hi Tech recalls to the RETAIL Level Hydroxyzine HCL Oral Solution 10mg/5ml 16oz 50383079616 608204 608917
More information2017 Formulary Changes Year to Date
2017 Formulary Changes Year to Date Health Choice Arizona may add or remove drugs from our formulary during the year. If we remove drugs from our formulary, add prior authorization, quantity limits and/or
More informationMedicines Formulary BNF Section 4 Central Nervous System
Medicines BNF Section 4 4.1 Hypnotics and anxiolytics Chloral Hydrate 500mg/5ml Solution Clomethiazole 192mg Capsules Lormetazepam Tablets Melatonin Capsules Nitrazepam Suspension Nitrazepam Tablets Temazepam
More informationHealth Partners Medicare Prime 2019 Formulary Changes
Health Partners Medicare Prime 2019 Formulary Changes Changes occur, for example, because new drugs come on the market, a drug is moved to a different cost-sharing level (tier), or a generic version becomes
More informationDATE OF PRE-BID CONFERENCE: DEADLINE OF SUBMISSION OF BIDS: OPENING OF BIDS:
UHS FC: 8703417 Dr. Marilyn Reaño 1 1 0.3 Sodium Chloride with 5% Dextrose in 1000 ml in plastic 120 btl 70.00 8,400.00 2 0.3 Sodium Chloride With 5% Dextrose In 500 ml In Plastic 240 btl 70.00 16,800.00
More informationWellCare s South Carolina Preferred Drug List Update
WellCare s South Carolina Preferred Drug List Update This is a list of changes to our preferred drug list. These are a result of the latest WellCare Pharmacy & Therapeutics meeting held on 09/03/2015.
More informationAdvance Notification of Amendments to the March 2017 Drug Tariff
Advance Notification of Amendments to the March 2017 Drug Tariff ADDITIONS Part I - Drugs And Preparations Special Container Drug Qty Price Acetylcysteine 600mg capsules 30 39.95 A Caffeine citrate 50mg/5ml
More informationPORTFOLIO Q June 2014 Availability of products is subject to patent restrictions in countries where applicable patents are in effect 1/5
Abiraterone Tablet 250 mg Q4 2015 Acetylsalicylic Acid Tablet GR 100 mg Available Aciclovir Cream 5% - 2 Grs Q4 2014 Alendronic Acid Tablet 70 mg Available Amisulpride Tablet 50 ; 100 ; 200 ; 400 mg Available
More informationSpecial Generic Drug Pricing Program
FREE PICK-UP & DELIVERY Flu-Shots Specialty prescription Compounding Wellness center providing health screenings for hypertension and diabetes $3 Special Generic Prescription Drug Program only offered
More informationTN Cover Rx Tennessee CoverRx MAC Price Change List As of: 04/26/2018
1 Tennessee CoverRx List Run : 04/26/18 Dosage Form amiodarone HCl 200 MG TABLET ORAL 04/25/2018 0.16102 0.14405 11.8 hydralazine HCl 100 MG TABLET ORAL 04/25/2015 0.11390 0.10854 4.9 hydralazine HCl 25
More informationUPLB-S , SUPPLY AND DELIVERY OF DRUGS AND MEDICINES TECHNICAL SPECIFICATION FOR THE PUBLIC BIDDING OF: OPENING OF BIDS:
1 1 0.3 Sodium Chloride with 5% Dextrose in 1000 ml in plastic bottle 2 0.3 Sodium Chloride With 5% Dextrose In 500 ml In Plastic Bottle 3 0.9 Sodium Chloride with 5% Dextrose 1000 ml in plastic bottle
More informationProduct Name Strength Dosage Form Therapeutic Area Dossier Status. Aceclofenac 100mg Film coated Tablets Analgesia-inflammation Approved
Product Name Strength Dosage Form Therapeutic Area Dossier Status Aceclofenac 100mg Film coated Tablets Analgesia-inflammation Approved Alendronate Sodium 10/70mg Tablets Osteoporosis Approved Anastrozole
More informationKern Pharma Portfolio 2014
Kern Pharma Portfolio 2014 DOSSIERS DEVELOPED DURING 2013-2014 ARIPIPRAZOL (ODT) 10mg, 15mg tablets CHONDROITIN SULPHATE 400mg capsules ( well established use ) DEXKETOPROFEN TROMETAMOL 25mg, tablets DULOXETIN
More informationStep Therapy Medications
Step Therapy Medications Step Therapy Group APTIOM Step-2: APTIOM 200 MG TABLET or APTIOM 400 MG TABLET or APTIOM 600 MG TABLET or APTIOM 800 MG TABLET Step 1 Drug(s): Oxcarbazepine immediate-release,
More informationSandoz Inc. 12-Aug-08
Sandoz Inc. 12-Aug-08 Department of Health and Human Services Public Health Service Food and Drug Administration Atlanta District Office 60 8th Street, N.E. Atlanta, Georgia 30309 August 12, 2008 VIA FEDERAL
More informationChanges to the 2018 BlueCross Secure SM (HMO) & BlueCross Total SM (PPO) Formularies
Changes to the 2018 BlueCross Secure SM (HMO) & BlueCross Total SM (PPO) Formularies BlueCross BlueShield of South Carolina may add or remove drugs from the formulary during the year. If we remove drugs
More informationChapter 4 ~ Central nervous system
Chapter 4 ~ Central Nervous System: Special Section 1 of 5 Chapter 4 ~ Central nervous system 4.1 Hypnotics and anxiolytics 4.1.1 Hypnotics LOPRAZOLAM Tablet 1mg LORMETAZEPAM Tablet 500microgram PROMETHAZINE
More information2014 Medicare Part D Formulary Formulary Additions
Formulary Additions Used For Coverage Tier Bromday Ophthalmic Anti-inflammatory Invokana 100 mg Invokana 300 mg Namenda 14 mg ER Dementia Namenda 28 Titration Pack Dementia Namenda 21 mg ER Dementia Namenda
More informationStep Therapy Requirements
An Independent Licensee of the Blue Cross and Blue Shield Association Step Therapy Requirements Effective: 12/01/2017 Updated 11/2017 H0302_2_2014 CMS Accepted 05/05/2014 1 ABILIFY Abilify 10 mg tablet
More informationADDITIONAL DRUG LISTING FOR MEDICARE & MEDI-CAL MEMBERS
MEDICARE & MEDICAL MEMBERS! Please read carefully! The following pages include additional drugs which may be covered for you with your doctor s prescription by MediCal (Medicaid). These drugs CANNOT be
More informationAmbetter 90-Day-Supply Maintenance Drug List
Ambetter 90-Day-Supply Maintenance Drug List What is the Ambetter 90-Day-Supply Maintenance Drug List? Ambetter 90-Day-Supply Maintenance Drug List is a list of maintenance medications that are available
More informationTENDER RESULTS. Notification of Product Changes (NOPC) forms and Pharmacodes. 28 February 2014
28 February 2014 TENDER RESULTS PHARMAC has resolved to award tenders for for Sole Subsidised Supply Status and Status for some products included in the Invitation to Tender, dated 07 November 2013. Some
More informationDiscontinued Items. Spartanburg, SC & Valdosta, GA Toll Free Paragould, AR Toll Free /10/2017
ct s Smith # Sz Description NDC/UPC Manufacturer 826776 1ct Promethazine Syr w/cod 4oz 65162069486 Amneal 826784 1ct Promethazine Syr w/cod 16oz 65162069490 Amneal 777193 1ct Midorine Tab 5mg 100ct 60505132101
More informationQuarterly pharmacy formulary change notice
Provider Bulletin April 2018 This table is used by HealthKeepers, Inc. to indicate formulary changes applicable to all Anthem HealthKeepers Plus members. These changes were reviewed and approved at the
More information2018 Formulary Notice of Change Prescription Drug Plans
2018 Formulary Notice of Change Prescription Drug Plans WellCare Prescription Insurance, Inc. Plans in all states: WellCare Classic (PDP) WellCare may add or remove drugs from our formulary during the
More informationAdvance Notification of Amendments to the March 2018 Drug Tariff
Advance Notification of Amendments to the March 2018 Drug Tariff ADDITIONS Zero Discount Terbutaline 2.5mg/5ml solution for injection ampoules Part I - Drugs And Preparations Special Container * This pack
More informationUPDATE WellCare s South Carolina
September 3, 2015 UPDATE WellCare s South Carolina Preferred Drug List Dear Provider: At the September 3, 2015 WellCare Pharmacy & Therapeutics Committee meeting, it was decided that the following changes
More informationAcyclovir Ointment. Aetna Better Health Pennsylvania. Products Affected. acyclovir ointment 5 % external Details. Criteria
Medications that require Step Therapy (ST) require trial and failure of preferred formulary agents prior to their authorization. If the prerequisite medications have been filled within the specified time
More informationHospital Unit Dose Unit Dose Plus BARCODE LISTING. Spring See our new Barcode Scanning Guide on page 30
Hospital Unit Dose Unit Dose Plus BARCODE LISTING Spring 2017 See our new Barcode Scanning Guide on page 30 Our latest market introductions include: Ezetimibe 10 mg Tablet, Loperamide HCl 2 mg Capsule,
More informationGeneric Medications 2,500 + available Call or MEDSerivces for medications not listed.
AcipHex tablet 20mg $15 for up to 30 tablets Acyclovir capsule 200mg $25 Acyclovir tablet 400mg, 800mg $25 Albuterol Inhalation Solution 0.083%/3mL $20 for up to 75 vials Alclometasone Dipropionate Cream
More informationTDMHMR EXECUTIVE FORMULARY COMMITTEE MINUTES April 16, 2004
TDMHMR EXECUTIVE FORMULARY COMMITTEE MINUTES April 16, 2004 The Executive Formulary Committee convened on Friday, April 16, 2004 in Room 107D - CO Building 1. The meeting was called to order by Dr. Morgan,
More informationCalgary Long Term Care Formulary
Page 1 of 10 Calgary Long Term Care Formulary Pharmacy & Therapeutics November 2018 Highlights https://www.albertahealthservices.ca/info/page4071.aspx Page 2 of 10 Contents November 2018... 3 Formulary
More information$4 Prescription Program October 23, 2007
Allergies & Cold and Flu Benzonatate 100mg 14 Ceron DM syrup Ceron drops Dec-Chlorphen drops Dec-Chlorphen DM syrup 118ml* Loratadine 10mg Promethazine DM syrup Trivent DPC syrup * Antibiotic Treatments
More informationStep Therapy Group. Atypical Antipsychotic Agents
Atypical Antipsychotic Agents Any beneficiary newly enrolled into Community Care, Inc. currently receiving aripiprazole, aripiprazole ODT, risperidone, risperidone ODT, olanzapine, olanzapine ODT, quetiapine,
More informationAllergy, Cough and Cold. Analgesic. Anti-Anxiety. Antibiotic
For your convenience, this list is sorted by drug category. Drugs are categorized based on their most common use and may be included in more than one category. Drugs are not categorized by all of their
More informationInformation for Vermont Prescribers of Prescription Drugs
Information for Vermont Prescribers of Prescription Drugs ARTHROTEC (diclofenac sodium/misoprostol) tablets This list does not imply that the products on this chart are interchangeable or have the same
More information2019 Formulary Update
MEDICARE ADVANTAGE BlueShield of Northeastern New York Formulary Update BlueShield of Northeastern New York has updated its formulary (drug list) since its original publication in January. This document
More information$4 Prescription Program May 5, 2008
Allergies & Cold and Flu Benzonatate 100mg 14 42 Ceron DM syrup 120ml 360ml Ceron drops* 30ml 90ml Dec-Chlorphen drops* 30ml 90ml Dec-Chlorphen DM syrup* 118ml 354ml Loratadine 10mg 30 90 Promethazine
More informationPharmacy Consultant, PEI Drug Programs Date : September 8, 2009 Tel / Tél : (902) Fax / Téléc : (902)
To / Destinataire : All Retail Pharmacists and Staff From / Expéditeur : Patrick Crawford Pharmacy Consultant, PEI Drug Programs Date : September 8, 2009 Tel / Tél : (902) 368-6711 Fax / Téléc : (902)
More informationWellCare s South Carolina Preferred Drug List Update
WellCare s South Carolina Preferred Drug List Update This is a list of changes to our preferred drug list. These are a result of the latest WellCare Pharmacy & Therapeutics meeting held on 09/21/2017.
More informationCMI Marketplace 2015 (List of Covered Drugs)
Analgesics Opioid Analgesics, Long-acting fentanyl 100 mcg/hr patch td72 fentanyl citrate 200 mcg lozenge hd morphine sulfate 30 mg tablet er oxymorphone hcl 7.5 mg tab er 12h Opioid Analgesics, Short-acting
More informationNotice of Mid-Year Changes to 2019 Paramount Enhanced Formulary
Notice of Mid-Year s to 2019 Paramount Enhanced Formulary Paramount Elite (HMO) may immediately remove a brand name drug on our List if we are replacing it with a new generic drug that will appear on the
More informationMarketing authorisations granted in September 2012
PL 00037/0648 03/09/2012 ABBOTT LABORATORIES LIMITED LEVELANZ 250 MG FILM-COATED TABLETS LEVETIRACETAM 250 MILLIGRAMMES POM PL 00037/0649 03/09/2012 ABBOTT LABORATORIES LIMITED LEVELANZ 500 MG FILM-COATED
More information2019 Catalog Hospital and Ophthalmology Products and Services
209 Catalog Hospital and Ophthalmology Products and Services Ophthalmology Ophthalmology Services. No prescription required No minimum order quantity New formulations are continually added to our portfolio.
More informationBULLETIN # 50. Manitoba Drug Benefits and Interchangeability Formulary Amendments. The following amendments will take effect on March 13, 2006.
BULLETIN # 50 Manitoba Drug Benefits and Interchangeability Formulary Amendments The following amendments will take effect on March 13, 2006. The amended Manitoba Specified Drug Regulation and Drug Interchangeability
More informationClub Members save even more with the $4 Plus Plan!
Club Members save even more with the $4 Plus Plan! ITEM DESCRIPTION Acephen Supp 650MG 12 Acetam Tab 325MG 30 90 Acyclovir Cap 200MG 30 90 Albuterol Syr 2MG/5ML 120 360 Albuterol Sulfate Nebulizer Ud Sol
More informationAETNA BETTER HEALTH Prior Authorization guideline for Narcotic Analgesic Utilization
AETNA BETTER HEALTH Prior Authorization guideline for Narcotic Analgesic Utilization Policy applies to all formulary and non-formulary schedules II V opioid narcotics, including tramadol and codeine, as
More informationPBS PRICE INCREASES - AUGUST 2014 SCHEDULE
Price increase review - general PBS benzylpenicillin 600 mg injection, 1 x 600 mg vial 1775K, 3398W, BenPen 3.84 4.38 3486L benzylpenicillin 3 g injection, 1 x 3 g vial 2647H, 3399X, BenPen 6.60 7.55 3487M
More informationStep Therapy Requirements
Step Therapy Requirements Denver Health Medicare Choice (HMO SNP)/Medicare Select (HMO) Effective: 09/01/2017 Updated 08/2017 ANTICONVULSANTS Aptiom 200 mg tablet Aptiom 400 mg tablet Aptiom 600 mg tablet
More informationSASKATCHEWAN FORMULARY COMMITTEE BULLETIN TO THE 58th EDITION OF THE SASKATCHEWAN FORMULARY
Saskatchewan Ministry of Health Drug Plan and Extended Benefits Branch July 2008 Bulletin #115 ISSN 0708-3246 SASKATCHEWAN FORMULARY COMMITTEE BULLETIN TO THE 58th EDITION OF THE SASKATCHEWAN FORMULARY
More informationInformation for Vermont Prescribers of Prescription Drugs
Information for Vermont Prescribers of Prescription Drugs ARTHROTEC (diclofenac sodium/misoprostol) tablets This list does not imply that the products on this chart are interchangeable or have the same
More informationStep Therapy Requirements
An Independent Licensee of the Blue Cross and Blue Shield Association Step Therapy Requirements Effective: 05/01/2018 Updated 4/2018 H0302_2_2014 CMS Accepted 05/05/2014 1 BETA-BLOCKERS BYSTOLIC 10 MG
More informationU T I L I Z A T I O N E D I T S
I N D I A N A H E A L T H C O V E R A G E P R O G R A M S U T I L I Z A T I O N E D I T S A P R I L 1 9, 2 0 1 2 s for s Refer to Provider Bulletin BT200709 for additional information regarding the Mental
More informationThe following list of recommended PDL changes were reviewed and approved by the MHS P&T Committee on December 14 th, 2016.
Q4 MHS PDL Changes Provider Notice The following list of recommended PDL changes were reviewed and approved by the MHS P&T Committee on December 14 th, 2016. Table 1: Summary of Medicaid PDL Additions
More informationANTICONVULSANTS. Details
ANTICONVULSANTS APTIOM 200 MG APTIOM 400 MG APTIOM 600 MG APTIOM 800 MG BANZEL 200 MG BANZEL 40 MG/ML ORAL SUSPENSION BANZEL 400 MG FYCOMPA 0.5 MG/ML ORAL SUSPENSION FYCOMPA 10 MG FYCOMPA 12 MG FYCOMPA
More informationAdvance Notification of Amendments to the April 2017 Drug Tariff
Advance Notification of Amendments to the April 2017 Drug Tariff ADDITIONS Part I - Drugs And Preparations * This pack only (others already available) Special Container Drug Qty Price * Dipyridamole 200mg
More informationDT Description Price Category Price change
Tariff T Watch October 2014 Readers are no doubt aware of this quarter's bad news for primary care prescribing allocations: NHS England has d the remuneration mechanism for community pharmacies gaining
More informationANTICONVULSANTS. Details
ANTICONVULSANTS Aptiom 200 mg tablet Aptiom 400 mg tablet Aptiom 600 mg tablet Aptiom 800 mg tablet Banzel 200 mg tablet Banzel 40 mg/ml oral suspension Banzel 400 mg tablet Fycompa 0.5 mg/ml oral suspension
More informationHospital Unit Dose Unit Dose Plus Liquid Unit Dose. BARCODE LISTING Spring See our new Barcode Scanning Guide on page 26
Hospital Unit Dose Unit Dose Plus Liquid Unit Dose BARCODE LISTING Spring 2018 See our new Barcode Scanning Guide on page 26 YOU ASKED. WE DELIVERED! New proprietary offering from AHP! LIQUID UNIT DOSE
More informationAdvance Notification of Amendments to the November 2017 Drug Tariff
Advance Notification of Amendments to the November 2017 Drug Tariff ADDITIONS Pyridostigmine bromide 180mg modified-release capsules Special Container * This pack only (others already listed) Drug Qty
More informationFormulary Item Restrictions and/or Advice Site availability
Formulary Item Restrictions and/or Advice Site availability C&W CNWL Typical Antipsychotic drugs Chlorpromazine 25mg Chlorpromazine 50mg Chlorpromazine 100mg Chlorpromazine 25mg/5ml syrup Chlorpromazine
More informationQuarterly pharmacy formulary change notice
Quarterly pharmacy formulary change notice Provider update Summary: The formulary changes listed in the table below were reviewed and approved at our second quarter 2018, Pharmacy and Therapeutics Committee
More informationLIST OF FORMULATION PRODUCTS. Ferrocid Transule Capsule. Blended Pellets of Carbonyl Iron, Folic Acid & Zinc. Nature Biochem
LIST OF FORMULATION PRODUCTS Haematinics Ferrocid Transule Capsule Dried Ferrous Sulphate B.P. 1 Folic Acid B.P. 0.5 mg Eleron-F Dried Ferrous Sulphate I.P. 1 5 mg Cyanocobalamin I.P. 15 mcg Zinc Sulphate
More informationALOGLIPTIN STEP. Details. Step Therapy Requirements Effective November 1, 2017
ALOGLIPTIN STEP alogliptin 12.5 mg tablet alogliptin 12.5 mg-metformin 1,000 mg tablet alogliptin 12.5 mg-metformin 500 mg tablet alogliptin 12.5 mg-pioglitazone 15 mg tablet alogliptin 12.5 mg-pioglitazone
More informationUPDATE Ohana QUEST Integration Medicaid
UPDATE Ohana QUEST Integration Medicaid Preferred Drug List June 29, 2015 Dear Provider: At the June 04, 2015 WellCare Pharmacy & Therapeutics Committee meeting, it was decided that the following changes
More information