Displaying 1 - 7 of 7
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
41 05814 CYTARABINE 100MG INJ (ZUV) (BQ) 100MG VIAL BQ 7.4754 100MG 100 2024-04-01 2026-03-31 6
42 05814 CYTARABINE 100MG INJ (ZUV) 100MG VIAL BQ 11.12 100MG 100 2026-04-01 No No 0
41 0581D CYTARABINE 100MG INJ (KWA) (BQ) 100MG VIAL BQ 5.5454 100MG 100 2024-04-01 2026-03-31 6
40 0582B CYTARABINE 1G INJ (INP/AHI) 1G VIAL BQ 38.46 1G 0 2022-04-01 2024-03-31 0
40 0582D ONCOTAR 1G INJ (UBI/RXP) CYTARABINE 1G VIAL BQ 31.26 1G 0 2022-04-01 2024-03-31 0
41 0582E CYTRAZ 1G INJ (ZUV) CYTARABINE (BQ) 1G VIAL BQ 20.6864 100MG 0 2024-04-01 2026-03-31 0
42 0582E CYTRAZ 100MG INJ (ZUV) CYTARABINE 1G VIAL BQ 16.80 100MG 0 2026-04-01 No No 0