Displaying 1 - 4 of 4
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 55011 AROMASIN 25MG TAB (PFI/STO) EXEMESTANE 30'S C 8.66 25MG 0 2022-04-01 2024-03-31 0
41 55011 AROMASIN 25MG TAB (PFI) EXEMESTANE (C) 30'S C 8.6588 25MG 30 2024-04-01 2026-03-31 6
41 55015 EXEMESTANE 25MG TAB (REM) (BQ) 30'S BQ 0.3842 25MG 30 2024-04-01 2026-03-31 6
40 55018 EXETAS 25MG TAB (INP/AHI) EXEMESTANE 3X10 BQ 7.44 25MG 0 2022-04-01 2024-03-31 6