Displaying 21 - 24 of 24
Contract Number Brand Code Brand Name Package Size Formulary Category Unit Price Strength Max. Reimbursable / Month Drug Contract Start Date Drug Contract End Date Restrict To Ophthalmologist Restrict To Pulmonologist Status Description Max Repeats
40 5641N ZINACEF 1.5G INJ (GSK/COL) CEFUROXIME 1.5G VIAL C 18.38 1.5G 0 2022-04-01 2024-03-31 0
40 5642BM ZINACEF 750MG INJ (GSK/COL) CEFUROXIME 750MG VIAL C 11.15 750MG 0 2022-04-01 2024-03-31 0
40 5642CC CEFUROXIME 750MG IV/IM INJ (LDP/AHI) 10X750MG BQ 0.91 750MG IV/IM 0 2022-04-01 2024-03-31 6
41 5642CJ ZINACEF 750MG INJ (BCH) CEFUROXIME 750MG VIAL BQ 10.74 750MG 10 2024-04-01 2026-03-31 0