Displaying 1 - 2 of 2
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 99918 GLYCERINE & THYMOL (CAR/COL) 2 LITRES B 0.02 0 2022-04-01 2024-03-31 0
41 99918 GLYCERINE & THYMOL (CAR) (B) 2 LITRES B 0.0199 100 2024-04-01 2026-03-31 0