Displaying 1 - 4 of 4
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 44516 APO-CLOMIPRAMINE 25MG TAB (APO/COL) 100'S A 0.13 25MG 180 2022-04-01 2024-03-31 6
42 44516 APO-CLOMIPRAMINE 25MG TAB (APO) 100'S A 0.13 25MG 180 2026-04-01 No No 6
40 4451K ANAFRANIL 25MG TAB (BCH/COL) CLOMIPRAMINE 30'S C 1.51 25MG 0 2022-04-01 2024-03-31 0
42 4451S CLOMIYO 25MG TAB (JLP) CLOMIPRAMINE 100'S A 0.11 25MG 180 2026-04-01 No No 6