Displaying 1 - 9 of 9
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 A831AB ARCOXIA 60MG TAB (MSD/STO) ETORICOXIB 14'S C 1.75 60MG 0 2022-04-01 2024-03-31 0
41 A831AB ARCOXIA 60MG TAB (MSD) ETORICOXIB (C) 14'S C 1.763 60MG 0 2024-04-01 2026-03-31 0
40 A831AD ARCOXIA 90MG TAB (MSD/STO) ETORICOXIB 14'S C 1.94 90MG 0 2022-04-01 2024-03-31 0
40 A831AF ARCOXIA 120MG TAB (MSD/STO) ETORICOXIB 14'S C 3.47 120MG 0 2022-04-01 2024-03-31 0
41 A831AF ARCOXIA 120MG TAB (MSD) ETORICOXIB (C) 14'S C 3.5008 120MG 0 2024-04-01 2026-03-31 0
40 A831EW ETOVAN 60MG TAB (ARP/AHI) ETORICOXIB 3X10 C 0.48 60MG 0 2022-04-01 2024-03-31 0
40 A831EX ETOVAN 90MG TAB (ARP/AHI) ETORICOXIB 2X15 C 0.37 90MG 0 2022-04-01 2022-07-13 0
40 A831EX ETOVAN 90MG TAB (ARP/AHI) ETORICOXIB 2X15 C 0.55 90MG 0 2022-07-14 2024-03-31 Price Change 0
40 A831EY ETOVAN 120MG TAB (ARP/AHI) ETORICOXIB 2X10 C 0.55 120MG 0 2022-04-01 2024-03-31 0