Displaying 1 - 3 of 3
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 B011AM ABACAVIR 300MG TAB (CIP/AHI) 60'S BL 1.45 300MG 0 2022-04-01 2024-03-31 0
41 B011AM ABACAVIR 300MG TAB (CIP) (BL) 60'S BL 2.1565 300MG 60 2024-04-01 2026-03-31 6
40 B011EL ABACAVIR 300MG CAP (MAT/AHI) 60'S BL 0.79 300MG 0 2022-04-01 2024-03-31 0