Displaying 1 - 5 of 5
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 01133 CEFAZOLIN 1G IV/IM INJ (RTM/PHA) 1G VIAL B 3.89 1G IV/IM 0 2022-04-01 2024-03-31 6
41 01133 CEFAZOLIN 1G IV/IM INJ (RTM) (BQ) 1G VIAL BQ 3.9688 1G IV/IM 10 2024-04-01 2026-03-31 0
40 0113AG CEFAZOLIN 1G IV/IM INJ (KWA/ATB) 1G VIAL B 4.02 1G IV/IM 0 2022-04-01 2022-09-30 0
42 0113AK CEFAZOLIN 1G INJ (BAX) 10ML VIAL BQ 2.75 1G 0 2026-04-01 No No 0
41 0113BA CEFAZOL 1G INJ (INC) (BQ) 15ML VIAL BQ 14.1897 1G 0 2024-04-01 2026-03-31 0