Displaying 1 - 14 of 14
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 61312 ANDROCUR 50MG TAB (BSP/AHI) CYPROTERONE 50'S C 1.71 50MG 0 2022-04-01 2024-03-31 0
41 61312 ANDROCUR 50MG TAB (BSP) CYPROTERONE (C) 50'S C 1.7125 50MG 180 2024-04-01 2026-03-31 6
40 6131F ANDROCUR 50MG TAB (BSP/COL) CYPROTERONE 50'S C 1.71 50MG 0 2022-04-01 2024-03-31 0
41 6131F ANDROCUR 50MG TAB (BSP) CYPROTERONE (C) 50'S C 1.7125 50MG 180 2024-04-01 2026-03-31 6
41 6131R AAP-CYPROTERONE 50MG TAB (APO) 100'S A $0.5371 50MG 180 6
40 6131R AAP-CYPROTERONE 50MG TAB (APO/COL) CYPROTERON 100'S A 0.53 50MG 180 2022-04-01 2024-03-31 6
41 6131U AAP-CYPROTERONE 50MG TAB (APO) CYPR 100'S A 0.5371 50MG 180 2024-04-01 2026-03-31 6
40 61321 ANDROCUR 100MG TAB (BSP/AHI) CYPROTERONE 30'S A 2.08 100MG 90 2022-04-01 2024-03-31 6
41 61321 ANDROCUR 100MG TAB (BSP) CYPROTERONE 30'S A 2.084 100MG 90 2024-04-01 2026-03-31 6
40 61324 ANDROCUR 100MG TAB (BSP/COL) CYPROTERONE 30'S A 2.08 100MG 90 2022-04-01 2024-03-31 6
41 61324 ANDROCUR 100MG TAB (BSP) CYPROTERONE 30'S A 2.084 100MG 90 2024-04-01 2026-03-31 6
41 6132D CYPROTERONE 100MG TAB (KWA) 30'S A 1.6636 100MG 90 2024-04-01 2026-03-31 6
40 6132E CYPROTERONE 100MG TAB (LDP/AHI) 30'S A 1.50 100MG 90 2022-04-01 2022-09-30 6
41 6132E CYPROTERONE 100MG TAB (LDP) 30'S A 1.2994 100MG 90 2024-04-01 2026-03-31 6