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 5921H DANAZOL 200MG TAB (CIP/AHI) 100'S C 6.46 200MG 0 2022-04-01 2022-09-30 0
42 5921L DANOGEN 200MG CAP (CIP) DANAZOL 10X10 C 2.24 200MG 30 2026-04-01 No No 6