Displaying 1 - 3 of 3
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 A5916 DOXORUBICIN 50MG SOLN FOR INJ (EBA/COL) 50MG VIAL BQ 34.93 50MG 0 2022-04-01 2024-03-31 Price Change 0
40 A591AA DOXORUBICIN 50MG SOLN FOR INJ (DIL/AHI) 50MG VIAL BQ 25.91 50MG 0 2022-04-01 2024-03-31 0
40 A591AH DOXOTHER 50MG SOLN FOR INJ (TPP/AHI) DOXORUBICIN 50ML VIAL BQ 18.46 50MG 0 2022-04-01 2024-03-31 0