Displaying 1 - 5 of 5
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
42 6591F DOBUTAMINE 12.5MG/ML INJ (RTM) 10X20ML BQ 4.08 12.5MG/ML 30 2026-04-01 No No 0
41 6591P DOBUTAMINE 12.5MG/ML INJ (SLS) (BQ) 20ML BQ 9.7316 12.5MG/ML 30 2024-04-01 2026-03-31 6
40 6591R DOBUTAMINE 12.5MG/ML INJ (RTM/PHA) 20ML BQ 6.03 12.5MG/ML 0 2022-04-01 2024-03-31 0
41 6591R DOBUTAMINE 12.5MG/ML INJ (RTM) (BQ) 20ML BQ 11.4713 12.5MG/ML 30 2024-04-01 2026-03-31 6
40 6591V LABUTAMINE 12.5MG/ML INJ (LDP/AHI) DOBUTAMINE 20ML BQ 8.07 12.5MG/ML 0 2022-04-01 2024-03-31 0