Displaying 1 - 11 of 11
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 51714 ZENTEL 200MG TAB (GSK/COL) ALBENDAZOLE 2'S A 2.10 200MG 6 2022-04-01 2024-03-31 1
41 5171AJ ALBENDAZOLE 200MG TAB (LDP/AHI) 2'S A 1.86 200MG 6 Package Size Change 1
41 5171AK ZENTEL 400MG TAB (GSK/COL) ALBENDAZOLE 1'S A 4.62 400MG 3 Add to Contract 1
40 5171AK ZENTEL 400MG TAB (GSK) ALBENDAZOLE 1 A 4.19 400MG 3 0000-00-00 0000-00-00 1
41 51725 ALBENDAZOLE 40MG/ML SUSP (CIP/AHI) 10ML A 0.1495 40MG/ML 30 1
40 51725 ALBENDAZOLE 40MG/ML SUSP (CIP/AHI) 10ML A 0.14 40MG/ML 30 2022-04-01 2024-03-31 1
41 5172AH ALZOLE 40MG/ML SUSP (TPP/AHI) ALBENDAZOLE 10ML A 0.1359 40MG/ML 30 1
41 5172B ZENTEL 40MG/ML SUSP (GSK/COL) ALBENDAZOLE 10ML C 0.4621 40MG/ML 30 1
40 5172B ZENTEL 40MG/ML SUSP (GSK/COL) ALBENDAZOLE 10ML C 0.42 40MG/ML 0 2022-04-01 2024-03-31 0
40 5172G WORMIZOLE 40MG/ML SUSP (HEA/RXP) ALBENDAZOLE 10ML A 0.14 40MG/ML 30 2022-04-01 2024-03-31 1
41 5172U WORMIZOLE 40MG/ML SUSP (HEA/ATB) ALBENDAZOLE 10ML A 0.1549 40MG/ML 30 1