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 19633 CALCIUM GLUCONATE 10% INJ (BRA/COL) 20X10ML B 1.56 10% 0 2022-04-01 2024-03-31 0
41 19633 CALCIUM GLUCONATE 10% INJ (BRA) (B) 20X10ML B 0.6714 10% 10 2024-04-01 2026-03-31 0