Displaying 1 - 9 of 9
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 07918 ADRENALINE 1MG/ML IV/IM INJ (RTM/PHA) 10X1ML B 3.50 1MG/ML IV/IM 0 2022-06-01 2024-03-31 Price Change 0
40 07918A ADRENALINE 1MG/ML IV/IM INJ (RTM/PHA) 10X1ML B 2.41 1MG/ML IV/IM 0 2022-04-01 2022-05-31 0
42 0791AD ADREFORD 1MG/ML IV/IM INJ (JLP) ADRENALINE 100X1ML B 0.33 1MG/ML IV/IM 60 2026-04-01 No No 0
40 0791AF ADRENALINE 1MG/ML IV/IM INJ (MON/PHA) 10X1ML B 0.71 1MG/ML IV/IM 0 2022-04-01 2024-03-31 0
42 0791AF ADRENALINE 1MG/ML IV/IM INJ (MON) 10X1ML B 0.78 1MG/ML IV/IM 60 2026-04-01 No No 0
40 0791X ADRENALINE 1MG/ML IV/IM INJ (LAF/AHI) 100X1ML B 0.99 1MG/ML IV/IM 0 2022-04-01 2024-03-31 Change Local Agent 0
41 0791X ADRENALINE 1MG/ML IV/IM INJ (LAF) (B) 100X1ML B 1.1417 1MG/ML IV/IM 60 2024-04-01 2026-03-31 0
42 0791X ADRENALINE 1MG/ML IV/IM INJ (LAF) 100X1ML B 0.95 1MG/ML IV/IM 60 2026-04-01 No No 0
41 0791Y ADRINOR 1MG/ML IV/IM INJ (INC) ADRENALINE (B) 5X1ML B 1.8104 1MG/ML IV/IM 60 2024-04-01 2026-03-31 0