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 07311 APO-TRIHEX 2MG TAB (APO) 100'S A 0.1327 2MG 180 2024-04-01 2026-03-31 6
40 07315 BENZHEXOL 2MG TAB (KWA/ATB) 10X10 A 0.49 2MG 180 2022-04-01 2024-03-31 6
41 07321 APO-TRIHEX 5MG TAB (APO) 100'S A 0.1541 5MG 90 2024-04-01 2026-03-31 6
40 0732A BENZHEXOL 5MG TAB (KWA/ATB) 10X10 A 1.14 5MG 90 2022-04-01 2024-03-31 6