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
40 A0014 APO-BUSPIRONE 10MG TAB (APO/COL) 100'S C 0.21 10MG 0 2022-04-01 2024-03-31 0
40 A001L PMS-BUSPIRONE 10MG TAB (PMS/COL) 100'S A 0.17 10MG 90 2022-04-01 2024-03-31 6
41 A001N APO-BUSPIRONE 10MG TAB (APO) 100'S A 0.215 10MG 90 2024-04-01 2026-03-31 6
41 A001P BUSPIN 10MG TAB (INP) BUSPIRONE 500'S A 0.1595 10MG 90 2024-04-01 2026-03-31 6