Displaying 1 - 20 of 37
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 4141KJ DICLOFENAC SOD 50MG TAB (HEA/RXP) 10X10 A 0.03 50MG 42 2022-04-01 2024-03-31 6
40 4141KW VOLTAREN 50MG TAB (NVS/COL) DICLOFENAC SOD 100'S C 0.92 50MG 0 2022-04-01 2024-03-31 0
41 4141KW VOLTAREN 50MG TAB (NVS) DICLOFENAC SOD (C) 100'S C 0.9231 50MG 42 2024-04-01 2026-03-31 6
41 4141RE DICLOFENAC 50MG TAB (HEA) 10X10 A 0.0269 50MG 42 2024-04-01 2026-03-31 6
41 4141RM APO-DICLOFENAC SODIUM 25MG TAB (APO) 100'S A 0.1079 25MG 100 2024-04-01 2026-03-31 6
40 4141TV DICLOFENAC SOD 50MG TAB (HEA/ATB) 10X10 A 0.0264 50MG 2022-12-07 2024-03-31 No No Change Local Agent 6
40 4141ZJ APO-DICLO 25MG TAB (APO/COL) 100'S A 0.10 25MG 100 2022-04-01 2024-03-31 6
40 41421 VOLTAREN 25MG/ML IV/IM INJ (NVS/COL) DICLOFEN 5X3ML C 4.20 25MG/ML IV/IM 0 2022-04-01 2024-03-31 0
41 41421 VOLTAREN 25MG/ML IV/IM INJ (NVS) DICLOFE (C) 5X3ML C 4.1971 25MG/ML IV/IM 0 2024-04-01 2026-03-31 0
40 4142AY DICLOFENAC SOD 25MG/ML IV/IM INJ (MON/PHA) 10X3ML B 0.61 25MG/ML IV/IM 0 2022-04-01 2024-03-31 0
41 4142BL DICLOFENAC SOD 25MG/ML IV/IM INJ (C (B) 10X3ML B 0.3996 25MG/ML IV/IM 0 2024-04-01 2026-03-31 0
41 4142CB DICLOFENAC SODIUM 25MG/ML IV/IM INJ (HEA) (B) 10X3ML B 0.4676 25MG/ML IV/IM 0 2024-04-01 2026-03-31 0
40 4142Q DICLOFENAC SOD 25MG/ML IV/IM INJ (RTM/PHA) 10X3ML C 0.89 25MG/ML IV/IM 0 2022-04-01 2024-03-31 0
41 4142Q DICLOFENAC SODIUM 25MG/ML IV/IM INJ (RTM) (B) 10X3ML B 0.9215 25MG/ML IV/IM 0 2024-04-01 2026-03-31 0
40 41436 VOLTAREN 50MG SUPPOS (NVS/COL) DICLOFENAC SOD 10'S A 1.58 50MG 10 2022-04-01 2024-03-31 6
41 41436 VOLTAREN 50MG SUPPOS (NVS) DICLOFENAC SO 10'S A 1.5766 50MG 10 2024-04-01 2026-03-31 0
40 41445 VOLTAREN RETARD 100MG TAB (NVS/COL) DICLOFENA 10'S C 1.71 100MG 0 2022-04-01 2024-03-31 0
41 41445 VOLTAREN RETARD 100MG TAB (NVS) DICLOFEN (C) 10'S C 1.7125 100MG 14 2024-04-01 2026-03-31 0
40 4144AG REMETHAN R 100MG TAB (REM/SBI) DICLOFENAC SOD 10X10 A 0.07 100MG 14 2022-04-01 2024-03-31 6
41 4144AG REMETHAN R 100MG TAB (REM) DICLOFE (C) 10X10 C 0.0707 100MG 2024-04-01 2026-03-31