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
40 79622 DUNATE 60MG IV/IM INJ (SLS/AHI) ARTESUNATE 60MG VIAL BQ 13.51 60MG IV/IM 0 2022-04-01 2024-03-31 0
40 79632 ARTESUNATE 50MG TAB (KWA/ATB) 10'S A 9.51 50MG 120 2022-04-01 2024-03-31 6