Displaying 1 - 9 of 9
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
42 20712 PMS-ATOMOXETINE 10MG CAP (PMS) (C) 30'S C 1.09 10MG 60 2026-04-01 No No 6
40 20713 APO-ATOMOXETINE 10MG CAP (APO/COL) 30'S C 1.09 10MG 0 2022-04-01 2024-03-31 0
41 20715 APO-ATOMOXETINE 10MG CAP (APO) (C) 30'S C 1.1091 10MG 60 2024-04-01 2026-03-31 6
42 20732 PMS-ATOMOXETINE 25MG CAP (PMS) (C) 30'S C 1.36 25MG 60 2026-04-01 No No 6
40 20733 APO-ATOMOXETINE 25MG CAP (APO/COL) 30'S C 1.99 25MG 0 2022-04-01 2024-03-31 0
41 20735 APO-ATOMOXETINE 25MG CAP (APO) (C) 30'S C 2.0333 25MG 60 2024-04-01 2026-03-31 6
41 20742 PMS-ATOMOXETINE 40MG CAP (PMS) (C) 30'S C 2.3967 40MG 30 2024-04-01 2026-03-31 6
42 20742 PMS-ATOMOXETINE 40MG CAP (PMS) (C) 30'S C 1.63 40MG 30 2026-04-01 No No 6
40 20743 APO-ATOMOXETINE 40MG CAP (APO/COL) 30'S C 2.63 40MG 0 2022-04-01 2024-03-31 0