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 48916 GLUGON 1MG INJ (KWL/RXP) GLUCAGON GLUCAGON GLUGON 1MG AMP B 103.30 103.30 INJECTION 0 AMP KWL KHANDELWAL LABS RXP RX PRO INC 6822 ANTIHYPOGLYCEMIC AGENTS 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 A342B PACLITAXEL 6MG/ML INJ (KWL/RXP) PACLITAXEL PACLITAXEL 50ML BQ 88.62 88.62 INJECTION 0 VIAL KWL KHANDELWAL LABS RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS