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 0292J CLINEX 150MG CAP (ARP/AHI) CLINDAMYCIN HCL 3X10 A 0.32 150MG 28 2022-04-01 2024-03-31 0
40 0294K CLINEX 300MG CAP (ARP/AHI) CLINDAMYCIN HCL 30'S A 0.63 300MG 28 2022-04-01 2024-03-31 0