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 68911 E-Z-GAS II (EZM/COL) SOD BIC/CIT ACID/SIMET 50X4G BQ 9.24 || 0 2022-04-01 2024-03-31 0
41 68911 E-Z-GAS II (EZM) SOD BIC/CIT ACID/SIME (BQ) 50X4G BQ 10.1665 || 0 2024-04-01 2026-03-31 0