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 42535 BACTIN 500U OINT (CAR/COL) BACITRACIN 15G A 4.89 500U 2 2022-04-01 2024-03-31 0
41 42535 BACTIN 500U OINT (CAR) BACITRACIN 15G A 5.0289 500U 2 2024-04-01 2026-03-31 0