Displaying 1 - 5 of 5
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 41514 PARLODEL 2.5MG TAB (BCH/COL) BROMOCRIPTINE 30'S C 0.66 2.5MG 0 2022-04-01 2024-03-31 0
40 41519 AAP-BROMOCRIPTINE 2.5MG TAB (APO/COL) 100'S C 0.44 2.5MG 0 2022-04-01 2024-03-31 Name Change 0
40 4151H BROMOCRIPTINE 2.5MG TAB (KWA/ATB) 10X10 A 0.29 2.5MG 90 2022-04-01 2024-03-31 6
41 4151J AAP-BROMOCRIPTINE 2.5MG TAB (APO) (C) 100'S C 0.4518 2.5MG 90 2024-04-01 2026-03-31 6
41 4151K BROMOCRIPTINE 2.5MG TAB (KWA) 30'S A 0.2773 2.5MG 90 2024-04-01 2026-03-31 6