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 1383D VERMOR SR 30MG TAB (VEV/AHI) MORPHINE SULPHATE SR MORPHINE SULPHATE SR VERMOR SR 10X10 A 64.70 0.65 TABLET 30 TAB VEV VERVE HUMANCARE LABORATORIES AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 Oral 2 CENTRAL NERVOUS SYSTEM DRUGS 2022-03-29