Displaying 21 - 26 of 26
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
42 6673BB DICLOFENAC POTASSIUM 50MG TAB (FSB) 10X10 A 0.03 50MG 15 2026-04-01 No No Add to Contract as Cat A 0
40 6673H CATAFLAM 50MG TAB (NVS/COL) DICLOFENAC POTASS 50'S C 0.94 50MG 0 2022-04-01 2024-03-31 0
41 6673H CATAFLAM 50MG TAB (NVS) DICLOFENAC POTAS (C) 50'S C 0.9362 50MG 15 2024-04-01 2026-03-31 0
42 6673H CATAFLAM 50MG TAB (NVS) DICLOFENAC POTAS 50'S C 0.94 50MG 15 2026-04-01 No No 0
40 66742 LAFENAC 25MG/ML INJ (LDP/AHI) DICLOFENAC POTASSIUM 10X3ML B 4.53 25MG/ML 0 2022-04-01 2024-03-31 0
41 66746 DICLOFENAC POTASSIUM 25MG/ML INJ (KWA) 3ML VIAL B 1.8756 25MG/ML 30 2024-04-01 2026-03-31 0