Displaying 1 - 3 of 3
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 5231DU CELAMINA 1% CR (GLP/ALI) CICLOPIROX OLAMINE 20G A 6.80 1% 2 2022-04-01 2022-03-22 Delete from contract 0
40 5231EV CELAMINA 1% CR (GLP/ATB) CICLOPIROX OLAMINE 20G A 6.80 1% 2 2022-04-01 2024-03-31 Change Local Agent 0
40 5232AA BATRAFEN NAIL LACQUER 8% (SFA/COL) CICLOPIROX OLAMINE 3ML C 33.98 8% 0 2022-04-01 2024-03-31 0