Displaying 1 - 2 of 2
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
41 A573H ALENDRONATE 70MG TAB (CIP) (B) 40'S B 0.5484 70MG 5 2024-04-01 2026-03-31 6
40 A573P ALENDRONATE 70MG TAB (APL/AHI) 4'S B 0.91 70MG 0 2022-04-01 2024-03-31 6