Displaying 1 - 17 of 17
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 66721 CATAFLAM 1.8MG/ML SUSP (NVS/COL) DICLOFENAC P 120ML C 0.07 1.8MG/ML 0 2022-04-01 2024-03-31 0
41 66721 CATAFLAM 1.8MG/ML SUSP (NVS) DICLOFENAC (C) 120ML C 0.0802 1.8MG/ML 120 2024-04-01 2025-01-20 0
41 66725 DICLOFENAC POTASSIUM 1.8MG/ML SUSP (KWA) (C) 120ML C 0.0401 1.8MG/ML 120 2024-04-01 2026-03-31 0
40 66731 CATAFLAM 25MG TAB (NVS/COL) DICLOFENAC POTASS 20'S A 0.44 25MG 15 2022-04-01 2024-03-31 0
41 66731 CATAFLAM 25MG TAB (NVS) DICLOFENAC POTAS 20'S A 0.4431 25MG 15 2024-04-01 2026-03-31 0
40 66739 CATAFLAM DISPERS 50MG TAB (NVS/COL) DICLOFENA 12'S C 1.01 50MG 0 2022-04-01 2024-03-31 0
41 66739 CATAFLAM DISPERS 50MG TAB (NVS) DICLOFEN (C) 12'S C 1.0058 50MG 15 2024-04-01 2026-03-31 0
40 6673AB CATAFLAM SOFT GEL 50MG CAP (NVS/COL) DICLOFEN 50'S C 0.94 50MG 0 2022-04-01 2024-03-31 0
41 6673AB CATAFLAM SOFT GEL 50MG CAP (NVS) DICLOFE (C) 50'S C 0.9362 50MG 0 2024-04-01 2026-03-31 0
40 6673AE DICLO-K 50MG TAB (RYV/ALW) DICLOFENAC POTASSI 100'S A 0.03 50MG 15 2022-04-01 2024-03-31 0
41 6673AE DICLO-K 50MG TAB (RYV) DICLOFENAC POTASS 100'S A 0.0405 50MG 15 2024-04-01 2026-03-31 0
41 6673AN DICLOFENAC POTASSIUM 50MG TAB (HEA) 2X10 A 0.0707 50MG 15 2024-04-01 2026-03-31 0
41 6673AP DICLOFENAC POTASSIUM 50MG TAB (MCP) 10X10 A 0.0348 50MG 15 2024-04-01 2026-03-31 0
40 6673H CATAFLAM 50MG TAB (NVS/COL) DICLOFENAC POTASS 50'S C 0.94 50MG 0 2022-04-01 2024-03-31 0
41 6673H CATAFLAM 50MG TAB (NVS) DICLOFENAC POTAS (C) 50'S C 0.9362 50MG 15 2024-04-01 2026-03-31 0
40 66742 LAFENAC 25MG/ML INJ (LDP/AHI) DICLOFENAC POTASSIUM 10X3ML B 4.53 25MG/ML 0 2022-04-01 2024-03-31 0
41 66746 DICLOFENAC POTASSIUM 25MG/ML INJ (KWA) 3ML VIAL B 1.8756 25MG/ML 30 2024-04-01 2026-03-31 0