Displaying 1 - 3 of 3
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 21912 GALCODEINE 3MG/ML SOLN (THR/SBI) 2 LITRES B 0.02 3MG/ML 0 2022-04-01 2024-03-31 0
40 2191M CODEINE 3MG/ML LINC (CAR/COL) 2 LITRES B 0.03 3MG/ML 0 2022-04-01 2024-03-31 0
41 2191M CODEINE 3MG/ML LINCT (CAR) (B) 2 LITRES B 0.0299 3MG/ML 200 2024-04-01 2026-03-31 6