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 B001D CABERGOLINE 0.5MG TAB (TMP/AHI) 4'S BQ 7.71 0.5MG 0 2022-04-01 2024-03-31 6
41 B001E APO-CABERGOLINE 0.5MG TAB (APO) CAB (C) 8'S C 3.4659 0.5MG 32 2024-04-01 2026-03-31 6