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 A831BB CELEBREX 200MG CAP (PFI/STO) CELECOXIB 30'S C 1.82 200MG 0 2022-04-01 2024-03-31 0
41 A831BB CELEBREX 200MG CAP (PFI) CELECOXIB (C) 30'S C 1.8322 200MG 0 2024-04-01 2026-03-31 0
40 A831BW CELEBREX 200MG CAP (PFI/SBI) CELECOXIB 30'S C 1.82 200MG 0 2022-04-01 2024-03-31 0
41 A831BW CELEBREX 200MG CAP (PFI) CELECOXIB (C) 30'S C 1.8322 200MG 0 2024-04-01 2026-03-31 0
40 A831EV APO-CELECOXIB 200MG CAP (APO/COL) 100'S C 0.17 200MG 0 2022-04-01 2024-03-31 0