Displaying 1 - 8 of 8
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 1591AJ CHLORPROMAZINE 25MG TAB (REM/SBI) 10x10 A 0.06 25MG 90 2022-04-01 2024-03-31 6
41 1591AJ CHLORPROMAZINE 25MG TAB (REM) 10x10 A 0.0622 25MG 90 2024-04-01 2026-03-31 6
42 1591AJ CHLORPROMAZINE 25MG TAB (REM) 10x10 A 0.06 25MG 90 2026-04-01 No No 6
40 15927 CHLORPROMAZINE 50MG TAB (FSB/ATB) 10X10 A 0.08 50MG 90 2022-04-01 2024-03-31 6
41 15929 CHLORPROMAZINE 50MG TAB (TOR) 500'S A 0.5286 50MG 90 2024-04-01 2026-03-31 6
40 15936 CHLORPROMAZINE 100MG TAB (REM/SBI) 10x10 A 0.12 100MG 90 2022-04-01 2024-03-31 6
41 15936 CHLORPROMAZINE 100MG TAB (REM) 10x10 A 0.115 100MG 90 2024-04-01 2026-03-31 6
42 15936 CHLORPROMAZINE 100MG TAB (REM) 10x10 A 0.11 100MG 90 2026-04-01 No No 6