Displaying 1 - 4 of 4
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 07123 ATROPINE MINIMS 1% EYE DR (CAM) ATROPINE SULPHATE (B) 20X0.5ML B 5.6745 1% 20 2024-04-01 2026-03-31 6
40 07127 ATROPINE MINIMS 1% EYE DR (CAM/STO) ATROPINE SULPHATE 20X0.5ML B 4.74 1% 0 2022-04-01 2024-03-31 0
40 07141 ATROPINE SULPHATE 1% EYE DR (ASL/PHA) 10ML A 11.66 1% 1 2022-04-01 2024-03-31 0
41 07141 ATROPINE SULPHATE 1% EYE DR (ASL) 10ML A 13.2926 1% 20 2024-04-01 2026-03-31 6