Displaying 1 - 2 of 2
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 6861C CINNARON 75MG CAP (REM/SBI) CINNARIZINE 50'S A 0.25 75MG 60 2022-04-01 2024-03-31 6
41 6861C CINNARON 75MG CAP (REM) CINNARIZINE 50'S A 0.2354 75MG 60 2024-04-01 2026-03-31 6