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 5231EB ECONAZOLE 1% CR (KWA/ATB) 15G A 2.56 1% 2 2022-04-01 2024-03-31 0
40 5231ZA ECONADERM 1% CR (CAR/COL) ECONAZOLE 15G A 2.72 1% 2 2022-04-01 2024-03-31 0
41 5231ZA ECONADERM 1% CR (CAR) ECONAZOLE 15G A 2.8542 1% 2 2024-04-01 2026-03-31 0
42 5231ZA ECONADERM 1% CR (CAR) ECONAZOLE 15G A 3.59 1% 2 2026-04-01 No No 0
40 52324 ECONADERM 1% SOLN (CAR/COL) ECONAZOLE 20ML A 5.16 1% 2 2022-04-01 2024-03-31 0
41 52324 ECONADERM 1% SOLN (CAR) ECONAZOLE 20ML A 5.3823 1% 2 2024-04-01 2026-03-31 0
42 52324 ECONADERM 1% SOLN (CAR) ECONAZOLE 20ML A 5.38 1% 2 2026-04-01 2028-03-31 No No 0