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 22011 TUSCOSED EF SYR (CAR/COL) DIPHEN/COD.PHOS 2 LITRES B 0.04 9.6MG/ML|14MG/ML 0 2022-04-01 2024-03-31 0
41 22011 TUSCOSED EF SYR (CAR) DIPHEN/COD. (C) 2 LITRES C 0.0406 9.6MG/ML|14MG/ML 0 2024-04-01 2026-03-31 0