Displaying 1 - 6 of 6
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 02112 INVANZ 1G INJ (MSD/STO) ERTAPENEM 10X1G C 92.42 1G 0 2022-04-01 2024-03-31 0
40 0211AK ERTAPENEM 1G INJ (SLS/AHI) 1G VIAL BQ 22.02 1G 0 2022-04-01 2024-03-31 6
40 0211T INVANZ 1G INJ (MSD/STO) ERTAPENEM 1G VIAL C 92.42 1G 0 2023-02-22 2024-03-31 No No PACKAGE SIZE CHANGE
41 0211T INVANZ 1G INJ (MSD) ERTAPENEM (BQ) 1GM BQ 82.66 1G 28 2024-04-01 2026-03-31 1
42 0212BU GERTA 1G INJ (ZYD) ERTAPENEM 1G VIAL BQ 100.36 1G 0 2026-04-01 No No 0
42 0212BY ERTAPENEM 1G INJ (BCH) 1G VIAL BQ 123.36 1G 0 2026-04-01 No No 0