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
40 B031AN EFAVIRENZ 600MG TAB (MCP/AHI) 30'S BL 0.30 600MG 0 2022-04-01 2024-03-31 0
41 B031AN EFAVIRENZ 600MG TAB (MCP) (BL) 30'S BL 0.2809 600MG 60 2024-04-01 2026-03-31 6
40 B031V EFAVIRENZ 600MG TAB (MAT/AHI) 30'S BL 0.49 600MG 0 2022-04-01 2024-03-31 0
40 B031Y EFCURE 600MG TAB (EMC/COL) EFAVIRENZ 30'S BL 0.38 600MG 0 2022-04-01 2024-03-31 0
41 B031Y EFCURE 600MG TAB (EMC) EFAVIRENZ (BL) 30'S BL 0.8336 600MG 60 2024-04-01 2026-03-31 6