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
41 34427 AMINOPHYLLINE 25MG/ML INJ (KWA) (B) 10X10ML B 1.9409 25MG/ML 10 2024-04-01 2026-03-31 0
40 34428 AMINOPHYLLINE 25MG/ML INJ (MON/PHA) 5X10ML B 2.28 25MG/ML 0 2022-04-01 2024-03-31 0
40 3442E AMINOPHYLLINE 25MG/ML INJ (SGH/COL) 10X10ML B 2.80 25MG/ML 0 2022-04-01 2024-03-31 0