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 7361Q BINOCRIT 4000U INJ (BCH/COL) EPOIETIN ALPHA 6X4000U BQ 20.95 4000U 0 2022-04-01 2024-03-31 0
41 7361Q BINOCRIT 4000U INJ (BCH) EPOIETIN ALPHA (BQ) 6X4000U BQ 21.1123 4000U 7 2024-04-01 2026-03-31 0
42 7361Q BINOCRIT 4000U INJ (BCH) EPOIETIN ALPHA 6X4000U B 23.99 4000U 7 2026-04-01 No No 0