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 A3224 APO-CITALOPRAM 20MG TAB (APO/COL) 30'S A 0.23 20MG 30 2022-04-01 2024-03-31 6
40 A322JU CIPRAMIL 20MG TAB (LUN/COL) CITALOPRAM 14'S C 3.44 20MG 0 2022-04-01 2024-03-31 0
41 A322LA APO-CITALOPRAM 20MG TAB (APO) 30'S A 0.2311 20MG 42 2024-04-01 2026-03-31 6