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 64212 NEORAL 100MG/ML SOLN (NVS/COL) CYCLOSPORIN 50ML BQ 475.71 100MG/ML 0 2022-04-01 2024-03-31 0
40 64225 NEORAL 25MG TAB (NVS/COL) CYCLOSPORIN 50'S BQ 2.70 25MG 0 2022-04-01 2024-03-31 6
40 6422B NEORAL 100MG TAB (NVS/COL) CYCLOSPORIN 50'S BQ 10.60 100MG 0 2022-04-01 2024-03-31 6