Displaying 1 - 10 of 10
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 78112 PROSCAR 5MG TAB (MSD/STO) FINASTERIDE 28'S C 1.14 5MG 0 2022-04-01 2024-03-31 0
41 78112 PROSCAR 5MG TAB (MSD) FINASTERIDE (C) 28'S C 1.1475 5MG 30 2024-04-01 2026-03-31 6
40 7811AC PROTRIDE 5MG TAB (HEA/ATB) FINASTERIDE 3X10 A 0.2257 5MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 7811AC PROTRIDE 5MG TAB (HEA) FINASTERIDE 3X10 A 0.2274 5MG 30 2024-04-01 2026-03-31 6
41 7811AE FINASTERIDE 5MG TAB (FSB) 30'S A 0.2012 5MG 30 2024-04-01 2026-03-31 6
42 7811AJ PROTRIDE 5MG TAB (HEA) FINASTERIDE 3X10 A 0.22 5MG 30 2026-04-01 No No Price Change 6
42 7811AL PROTRIDE 5MG TAB (HEA) FINASTERIDE 3X10 A 0.22 5MG 30 2026-04-01 No No Add to Contract as Cat A 6
42 7811AM PROTRIDE 5MG TAB (HEA) FINASTERIDE 3X10 A 0.22 5MG 30 2026-04-01 No No Add to Contract as Cat A 6
40 7811M PMS-FINASTERIDE 5MG TAB (PMS/COL) 30'S A 0.18 5MG 30 2022-04-01 2024-03-31 6
40 7811P PROTRIDE 5MG TAB (HEA/RXP) FINASTERIDE 3X10 A 0.23 5MG 30 2022-04-01 2024-03-31 6