Displaying 1 - 6 of 6
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 60013 FERASIRO 125MG TAB (MSN/ATB) 28'S C 7.15 125MG 0 2022-04-01 2024-03-31 0
41 60014 APO-DEFERASIROX 125MG TAB (APO) (C) 28'S C 3.9047 125MG 0 2024-04-01 2026-03-31 0
40 60025 FERASIRO 250MG TAB (MSN/ATB) 28'S C 14.30 250MG 0 2022-04-01 2024-03-31 0
41 60027 APO-DEFERASIROX 250MG TAB (APO) 30'S C 7.2933 250MG 0 2024-04-01 2026-03-31 0
40 60035 FERASIRO 500MG TAB (MSN/ATB) 28'S C 28.61 500MG 0 2022-04-01 2024-03-31 0
41 60036 APO-DEFERASIROX 500MG TAB (APO) (C) 30'S C 14.5911 500MG 0 2024-04-01 2026-03-31 0