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 B2214 NOVORAPID FLEXPENS 100U/ML (NOV/COL) ASPART 5X3ML A 17.67 100U/ML 1 2022-04-01 2024-03-31 6
40 B2256 NOVOMIX 70/30 FLEXPENS INJ (NOV/COL) ASPART 5X3ML A 24.46 100U/ML 1 2022-04-01 2024-03-31 6