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 06032 FLUOROURACIL 50MG/ML INJ (EBA/COL) 10ML BQ 26.48 50MG/ML 0 2022-04-01 2024-03-31 0
41 0603B FLUOROURACIL 50MG/ML INJ (DIL) (BQ) 10X10ML BQ 12.6973 50MG/ML 0 2024-04-01 2026-03-31 0
41 0603D FLUOROURACIL 50MG/ML INJ (SLS (BQ) 10ML BQ 18.6749 50MG/ML 0 2024-04-01 2026-03-31 0