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 3051M DURATOCIN 100MCG/ML INJ (FER/STO) CARBETOCIN 5X1ML BQ 51.85 100MCG/ML 0 2022-04-01 2024-03-31 0
41 3051M DURATOCIN 100MCG/ML INJ (FER) CARBETOCIN (BQ) 5X1ML BQ 54.6818 100MCG/ML 50 2024-04-01 2026-03-31 0