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
40 0012EA DESLORA-DENK 5MG TAB (EDK/COL) DESLORATADINE 10'S C 0.31 5MG 0 2022-04-01 2024-03-31 0
41 0012EA DESLORA-DENK 5MG TAB (EDK) DESLORAT (C) 10'S C 0.2066 5MG 0 2024-04-01 2026-03-31 0
40 0012EY AERIUS 5MG TAB (MSD/STO) DESLORATADINE 30'S C 0.83 5MG 0 2022-04-01 2024-03-31 0
41 0012EY AERIUS 5MG TAB (MSD) DESLORATADINE (C) 30'S C 0.84 5MG 0 2024-04-01 2026-03-31 0
42 0012EY AERIUS 5MG TAB (MSD) DESLORATADINE 30'S C 0.84 5MG 0 2026-04-01 No No 0
42 0012GA DESLORASTAL 5MG TAB (STL) DESLORATADINE 10X10 C 0.04 5MG 0 2026-04-01 No No 0
40 0013BK AERIUS 0.5MG/ML SYR (MSD/STO) DESLORATADINE 60ML C 0.20 0.5MG/ML 0 2022-04-01 2024-03-31 0