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 10518 AMINOCAPROIC ACID 250MG/ML INJ (SLS/AHI) 20ML BQ 20.09 250MG/ML 0 2022-04-01 2024-03-31 0
41 10518 AMINOCAPROIC ACID 250MG/ML INJ (SLS (BQ) 20ML BQ 20.1971 250MG/ML 10 2024-04-01 2026-03-31 0
42 10518 AMINOCAPROIC ACID 250MG/ML INJ (SLS 20ML BQ 20.25 250MG/ML 10 2026-04-01 No No 0