Displaying 1 - 19 of 19
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 A411AN CARCA 25MG TAB (INP/AAL) CARVEDILOL 30'S A 0.07 25MG 60 2022-05-31 2024-03-31 6
40 A411AP CARVEDILOL 25MG TAB (FSB/ATB) 28'S A 0.08 25MG 60 2022-04-01 2024-03-31 6
41 A411AP CARVEDILOL 25MG TAB (FSB) 28'S A 0.0777 25MG 60 2024-04-01 2026-03-31 6
40 A411AV CARVEDILOL 25MG TAB (MCP/AHI) 3X10 A 0.0753 25MG 60 2022-04-01 2024-03-31 6
41 A411BA CARVEDILOL 25MG TAB (KWA) 28'S A 0.0893 25MG 60 2024-04-01 2026-03-31 6
41 A411J CARCA 25MG TAB (INP) CARVEDILOL 30'S A 0.0788 25MG 60 2024-04-01 2026-03-31 6
40 A411L CARDOZ 25MG TAB (IPC/ATB) CARVEDILOL 28'S A 0.10 25MG 60 2022-04-01 2024-03-31 6
40 A412AM CARCA 12.5MG TAB (INP/AAL) CARVEDILOL 30'S A 0.05 12.5MG 60 2022-05-31 2024-03-31 6
40 A412AN CARVEDILOL 12.5MG TAB (FSB/ATB) 28'S A 0.06 12.5MG 60 2022-04-01 2024-03-31 6
41 A412AN CARVEDILOL 12.5MG TAB (FSB) 28'S A 0.0728 12.5MG 60 2024-04-01 2026-03-31 6
40 A412AT CARVEDILOL 12.5MG TAB (MCP/AHI) 3X10 A 0.09 12.5MG 60 2022-04-01 2024-03-31 6
40 A412AT CARVEDILOL 12.5MG TAB (MCP) 30'S A $0.07533 12.5 MG 2023-06-06 2024-03-31 6
41 A412J CARCA 12.5MG TAB (INP) CARVEDILOL 30'S A 0.0526 12.5MG 60 2024-04-01 2026-03-31 6
40 A412L CARDOZ 12.5MG TAB (IPC/ATB) CARVEDILOL 28'S A 0.09 12.5MG 60 2022-04-01 2024-03-31 6
41 A4137 CARVIDEX 6.25MG TAB (REM) CARVEDILOL 3X10 A 0.0535 6.25MG 60 2024-04-01 2026-03-31 6
40 A413AJ CARCA 6.25MG TAB (INP/AAL) CARVEDILOL 30'S A 0.04 6.25MG 60 2022-05-31 2024-03-31 6
40 A413AK CARVEDILOL 6.25MG TAB (FSB/ATB) 28'S A 0.05 6.25MG 60 2022-04-01 2024-03-31 6
41 A413J CARCA 6.25MG TAB (INP) CARVEDILOL 30'S A 0.0507 6.25MG 60 2024-04-01 2026-03-31 6
40 A413L CARDOZ 6.25MG TAB (IPC/ATB) CARVEDILOL 28'S A 0.08 6.25MG 60 2022-04-01 2024-03-31 6