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
41 1972AG CALCIUM CARBONATE 600MG TAB (KWA) 100'S A 0.1386 600MG 90 2024-04-01 2026-03-31 6
42 1972AH CALCIUM CARBONATE 650MG TAB (FSB) 100'S A 0.04 650MG 180 2026-04-23 No No Name Change 6
41 1972AJ VANCAL 600MG TAB (TPP) CALCIUM CARBONATE 10X10 A 0.0212 600MG 90 2024-04-01 2026-03-31 6
40 1972Z TUMS EX ASSORTED 750MG TAB (GSK/COL) CARB 48'S C 0.09 750MG 0 2022-04-01 2024-03-31 0
41 1972Z TUMS EX ASSORTED 750MG TAB (GSK) C (C) 48'S C 0.0923 750MG 0 2024-04-01 2026-03-31