Displaying 21 - 22 of 22
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
41 59329 BRADIREM 7.5MG TAB (REM) IVABRADINE (BQ) 56'S BQ 0.4738 7.5MG 0 2024-04-01 2026-03-31 0
42 59329 BRADIREM 7.5MG TAB (REM) IVABRADINE 56'S B 0.87 7.5MG 0 2026-04-01 No No 0