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 74712 DEPIXOL DEPOT 20MG/ML INJ (LUN/COL) FLUPENTHI 10X1ML B 11.80 20MG/ML 0 2022-04-01 2024-03-31 0
42 7471AJ FLUPENTHIXOL 20MG/ML INJ (KWA) 10X1ML B 1.28 20MG/ML 6 2026-04-01 No No Add to Contract as Cat B 6
42 7471AK FLUPENTHIXOL 20MG/ML INJ (CHC) 1ML AMP B 1.96 20MG/ML 6 2026-04-01 No No Add to Contract as Cat B 6
40 7473K DEPIXOL 3MG TAB (LUN/COL) FLUPENTHIXOL 100'S A 1.15 3MG 180 2022-04-01 2024-03-31 6