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 4994AU NOLVADEX -D 20MG TAB (AZN/COL) TAMOXIFEN TAMOXIFEN NOLVADEX -D 30'S A 13.59 0.45 TABLET 60 TAB AZN ASTRAZENECA AB COL COLLINS LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 4994AU NOLVADEX -D 20MG TAB (AZN) TAMOXIFEN TAMOXIFEN NOLVADEX -D 30'S A 13.59 0.4531 TAB 60 BOX AZN ASTRAZENECA AB COL COLLINS LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS