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
41 11519 GEMFIBROZIL 300MG TAB (KWA) 100'S A 0.2718 300MG 60 2024-04-01 2026-03-31 6
40 11529 GEMFIBROZIL 600MG TAB (CIP/AHI) 60'S B 0.68 600MG 60 2022-04-01 2024-03-31 6
41 11529 GEMFIBROZIL 600MG TAB (CIP) 60'S B 0.6809 600MG 60 2024-04-01 2026-03-31 6
42 11529 GEMFIBROZIL 600MG TAB (CIP) 60'S C 0.68 600MG 60 2026-04-01 No No 6