Displaying 1 - 7 of 7
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 49511 FERRUM FOL CHEWABLE 100/350 TAB (VFI/AHI) IRO 30'S C 1.13 0.35MG|100MG 0 2022-04-01 2022-09-30 0
40 49513 OROFER CHEWABLE 350MCG | 100MG TAB (EMC/COL) FO 30'S A 0.18 350MCG|100MG 30 2022-04-01 2024-03-31 6
41 49513 OROFER CHEWABLE 350MCG|100MG TAB (EMC) F 30'S A 0.2039 350MCG|100MG 30 2024-04-01 2026-03-31 6
42 49513 OROFER 350MCG|100MG CHEW TAB (EMC) FOLIC ACID|IRON 3 HYDROXY 30'S A 0.33 350MCG|100MG 30 2026-04-01 No No 6
40 49514 OROFER 550MCG | 100MG CAP (EMC/COL) FOLIC ACID | 40'S A 0.10 550MCG|100MG 30 2022-04-01 2024-03-31 6
41 49514 OROFER 550MCG|100MG CAP (EMC) FOLIC ACID 40'S A 0.1155 550MCG|100MG 30 2024-04-01 2026-03-31 6
42 49514 OROFER 550MCG|100MG CAP (EMC) FOLIC ACID|IRON 3 HYDROXY POLY 40'S A 0.26 550MCG|100MG 30 2026-04-01 No No 6