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
41 38721 NADOLOL 80MG TAB (ZYD) NADOLOL NADOLOL 100'S C 115.6375 1.1564 TAB 60 BOTT ZYD ZYDUS AHI ARMSTRONG HEALTHCARE INC 2424 BETA ADRENERGIC BLOCKING AGENTS 2024-04-01 2026-03-31 ORAL 0 BETA ADRENERGIC BLOCKING AGENTS