Displaying 1 - 5 of 5
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 65712 CLOZAPINE 25MG TAB (APL/AHI) 100'S BP 0.97 25MG 270 2022-04-01 2022-07-30 6
41 65712 CLOZAPINE 25MG TAB (APL) 100'S BP 1.2295 25MG 270 2024-04-01 2026-03-31 6
40 65715 SKIZORIL 25MG TAB (INP/AAL) CLOZAPINE 500'S BP 0.18 25MG 0 2022-04-01 2024-03-31 6
40 65726 CLOZAREM 100MG TAB (REM/SBI) CLOZAPINE 5X10 B 0.51 100MG 0 2022-04-01 2024-03-31 0
41 65726 CLOZAREM 100MG TAB (REM) CLOZAPINE 5X10 BP 0.4871 100MG 270 2024-04-01 2026-03-31 9