Displaying 1 - 2 of 2
  • 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 0884BL IPRAVENT 0.25MG/ML RESP SOL (CIP/AHI) IPRATRO IPRATROPIUM BROMIDE IPRAVENT 20X2ML A 32.70 1.64 RESPIRATORY 1 AMP CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2022-04-01 2024-03-31 Nasal 6 RESPIRATORY TRACT AGENTS
40 0884BT IPRAVENT 0.25MG/ML RESP SOL (CIP/AHI) IPRATRO IPRATROPIUM BROMIDE IPRAVENT 15ML A 1.82 1.82 RESPIRATORY 1 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2022-04-01 2024-03-31 Nasal 6 RESPIRATORY TRACT AGENTS