Displaying 1 - 1 of 1
  • Print
Contract Number Brand Code Brand Name Active Ingredient Trade Name Package Size Formulary Category Pkg Price Unit Price Unit Description Max. Reimbursable Quantity / Month Package Description Manufacturer Code Manufacturer Name Agent Code Agent Name Benefit Therapeutic Code Therapeutic Desc Drug Contract Start Date Drug Contract End Date Status Description Default Route Max Repeats Therapeutic Head Amend Date
40 15826 CHLORDIAZEPOXIDE 10MG CAP (KWA/ATB) CHLORDIAZEPOXIDE CHLORDIAZEPOXIDE 10X10 A 195.72 1.96 CAPSULE 90 CAP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 28160824 PHENOTHIAZINES 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS