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 B0611 VALDOXAN 25MG TAB (SER/STO) AGOMELATINE 28'S BP 2.33 25MG 0 2022-04-01 2024-03-31 6
41 B0611 VALDOXAN 25MG TAB (SER) AGOMELATINE (BP) 28'S BP 2.3368 25MG 84 2024-04-01 2026-03-31 6
40 B0612 VALDOXAN 25MG TAB (SER/COL) AGOMELATINE 28'S BP 2.33 25MG 0 2022-04-01 2024-03-31 6
41 B0612 VALDOXAN 25MG TAB (SER) AGOMELATINE (BP) 28'S BP 2.3368 25MG 84 2024-04-01 2026-03-31 6