Displaying 1 - 9 of 9
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 14624 TEGRETOL 200MG TAB (NVS/COL) CARBAMAZEPINE 100'S A 0.38 200MG 240 2022-04-01 2024-03-31 6
41 14624 TEGRETOL 200MG TAB (NVS) CARBAMAZEPINE 100'S A 0.3825 200MG 240 2024-04-01 2026-03-31 6
42 14624 TEGRETOL 200MG TAB (NVS) CARBAMAZEPINE 100'S A 0.38 200MG 240 2026-04-01 No No 6
40 14632 TEGRETOL 20MG/ML SYR (NVS/COL) CARBAMAZEPINE 100ML A 0.08 20MG/ML 900 2022-04-01 2024-03-31 6
41 14632 TEGRETOL 20MG/ML SYR (NVS) CARBAMAZEPINE 100ML A 0.1014 20MG/ML 900 2024-04-01 2026-03-31 6
42 14632 TEGRETOL 20MG/ML SYR (NVS) CARBAMAZEPINE 100ML A 0.12 20MG/ML 900 2026-04-01 No No 6
42 14641 TEGRETOL 400MG CR TAB (NVS) CARBAMAZEPINE 30'S A 0.73 400MG 120 2026-04-01 No No 6
41 14651 TEGRETOL 200MG CR TAB (NVS) CARBAMAZEPINE 50'S A 0.3446 200MG 240 2024-04-01 2026-03-31 6
42 14651 TEGRETOL 200MG CR TAB (NVS) CARBAMAZEPINE 50'S A 0.34 200MG 240 2026-04-01 No No 6