Displaying 181 - 200 of 417
Contract Number Format Brand Name Cost /30 days SIGCode
41 CHOLESTYRAMINE 4G SACH PMS-CHOLESTYRAMINE (PMS) 68,91 1 OD
42 DIGOXIN 0.125MG TAB TOLOXIN (PMS) 682,50
41 DIGOXIN 0.125MG TAB TOLOXIN (PMS) 1 139,78
40 DIGOXIN 0.125MG TABLET TOLOXIN (PMS) 780,00
42 DIGOXIN 0.25MG TAB DIXIN (SLS) 5,00
41 DIGOXIN 0.25MG TAB DIXIN (SLS) 5,00
40 DIGOXIN 0.25MG TABLET DIXIN (SLS) 5,00
42 DIGOXIN 50MCG/ML ML PMS-TOLOXIN (PMS) 1 704,30
41 DIGOXIN 50MCG/ML ML DIGOXIN (KWA) 5,00
40 DIGOXIN 50MCG/ML SOLUTION TOLOXIN (PMS) 1 928,55
41 DILTIAZEM 120MG CAP APO-DILTIAZ (APO) 10,07 1 OD
42 DILTIAZEM 120MG CAP APO-DILTIAZ (APO) 10,10 1 OD
40 DILTIAZEM 120MG CAPSULE APO-DILTIAZ CD (APO) 10,10 1 OD
41 DILTIAZEM 180MG CAP APO-DILTIAZ (APO) 12,07 1 OD
42 DILTIAZEM 180MG CAP APO-DILTIAZ (APO) 12,20 1 OD
40 DILTIAZEM 180MG CAPSULE APO-DILTIAZ CD (APO) 11,90 1 OD
42 DILTIAZEM 240MG CAP APO-DILTIAZ (APO) 14,00 1 OD
41 DILTIAZEM 240MG CAPCD APO-DILTIAZ (APO) 13,99 1 OD
40 DILTIAZEM 240MG CAPSULE APO-DILTIAZ CD (APO) 13,70 1 OD
41 DILTIAZEM 60MG TAB AAP-DILTIAZ (APO) 14,98 1 TD