Displaying 1 - 15 of 15
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 68213 CORDARONE 50MG/ML INJ (SFA/COL) AMIODARONE 6X3ML B 4.08 50MG/ML 0 2022-04-01 2024-03-31 0
42 68213 CORDARONE 50MG/ML INJ (SFA) AMIODA (C) 6X3ML C 4.08 50MG/ML 50 2026-04-01 No No 0
40 6821R AMIODARONE 50MG/ML INJ (SLS/AHI) 5X3ML B 3.28 50MG/ML 0 2022-04-01 2024-03-31 0
40 6821V LAMINOR 50MG/ML INJ (LDP/AHI) AMIODARONE 10X3ML B 5.48 50MG/ML 0 2022-04-01 2024-03-31 0
41 6821W AMIODARONE 50MG/ML INJ (MON) (B) 5X3ML B 0.6524 50MG/ML 50 2024-04-01 2026-03-31 0
42 6821X AMIODARONE 50MG/ML INJ (MON) 5X3ML B 1.60 50MG/ML 50 2026-04-01 No No 0
40 68225 CORDARONE 200MG TAB (SFA/COL) AMIODARONE 30'S C 0.77 200MG 0 2022-04-01 2024-03-31 0
41 68225 CORDARONE 200MG TAB (SFA) AMIODARONE (C) 30'S C 0.6343 200MG 90 2024-04-01 2026-03-31 6
42 68225 CORDARONE 200MG TAB (SFA) AMIODARO (C) 30'S C 0.77 200MG 90 2026-04-01 No No 6
42 6822AC AMIODARONE 200MG TAB (SLS) 100'S A 0.16 200MG 90 2026-04-01 No No 6
40 6822AD AMIODARONE 200MG TAB (KWA/ATB) 3X10 A 0.24 200MG 90 2022-04-01 2024-03-31 6
41 6822AE AMIODARONE 200MG TAB (INP) 2X14 A 0.1942 200MG 90 2024-04-01 2026-03-31 6
40 6822J CARDILOR 200MG TAB (REM/SBI) AMIODARONE 3X10 A 0.22 200MG 90 2022-04-01 2024-03-31 6
41 6822J CARDILOR 200MG TAB (REM) AMIODARONE 3X10 A 0.2474 200MG 90 2024-04-01 2026-03-31 6
42 6822J CARDILOR 200MG TAB (REM) AMIODARONE 3X10 A 0.19 200MG 90 2026-04-01 No No 6