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 26517 BETAMETHASONE 0.5MG TAB (LAF/AHI) 100'S A 0.56 0.5MG 240 2022-04-01 2024-03-31 Change Local Agent 6
41 26517 BETAMETHASONE 0.5MG TAB (LAF) 100'S A 0.6116 0.5MG 240 2024-04-01 2026-03-31 6