Displaying 1 - 1 of 1
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 48916 GLUGON 1MG INJ (KWL/RXP) GLUCAGON 1MG AMP B 103.30 1MG 0 2022-04-01 2024-03-31 0