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
42 20313 K BIND 15G PWDR (SLS) CALCIUM POLYSTYRENE SULPHONATE 20'S BQ 9.07 15G 20 2026-04-01 No No 0
40 20317 CALCIUM POLYSTYRENE SULPHONATE PWDR (SLS/AHI 300G A 159.76 15G 1 2022-04-01 2024-03-31 6