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 B4321 CONCOR AM 5MG|5MG TAB (MEK) AMLODIPINE|BISOPROLOL (C) 30'S C 1.2051 5MG|5MG 30 2024-04-01 2026-03-31 6
40 B4331 CONCOR AM 5MG | 10MG TAB (MEK/COL) AMLODIPINE | BISOPROLOL 30'S C 1.38 5MG|10MG 0 2022-04-01 2024-03-31 0
41 B4331 CONCOR AM 5MG|10MG TAB (MEK) AMLODIPINE|BISOPROLOL 30'S C 1.3773 5MG|10MG 30 2024-04-01 2026-03-31 6