Displaying 1 - 4 of 4
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 A681BN KIVEXA 600MG | 300MG TAB (GSK/COL) ABACAVIR | LAMIVUDINE 30'S BL 5.40 600MG|300MG 0 2022-04-01 2024-03-31 0
40 A681FC KIVALA 600MG | 300MG TAB (REM/SBI) ABACAVIR | LAMIVUDINE 30'S BL 2.76 600MG|300MG 0 2022-04-01 2024-03-31 0
42 A681FC KIVALA 600MG|300MG TAB (REM) ABACAVIR|LAMIVUDINE 30'S BL 1.92 600MG|300MG 30 2026-04-01 No No 0
40 A681HE ABACAVIR | LAMIVUDINE 600MG | 300MG TAB (MAT/AHI) 30'S BL 2.12 600MG|300MG 0 2022-04-01 2024-03-31 0