Displaying 1 - 11 of 11
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 A031AG APO-GRANISETRON 1MG TAB (APO) (BQ) 10'S BQ 0.4621 1MG 14 2024-04-01 2026-03-31 6
42 A031AL GRANISETRON 1MG TAB (CHC) 10'S BQ 1.95 1MG 14 2026-04-01 No No Add to Contract 0
40 A031N APO-GRANISETRON 1MG TAB (APO/COL) 10'S BQ 0.45 1MG 0 2022-04-01 2024-03-31 6
42 A031N APO-GRANISETRON 1MG TAB (APO) 10'S BQ 0.46 1MG 14 2026-04-01 No No 0
40 A033AQ GRANI-DENK 1MG/ML INJ (EDK/COL) GRANISETRON 5X1ML BQ 4.08 1MG/ML 0 2022-04-01 2024-03-31 0
41 A033AQ GRANI-DENK 1MG/ML INJ (EDK) GRANISE (BQ) 5X1ML BQ 2.8325 1MG/ML 6 2024-04-01 2026-03-31 6
42 A033AQ GRANI-DENK 1MG/ML INJ (EDK) GRANISE 5X1ML BQ 2.99 1MG/ML 6 2026-04-01 No No 0
40 A033AW GRANICIP 1MG/ML INJ (TPP/AHI) GRANISETRON 3ML VIAL BQ 6.25 1MG/ML 0 2022-04-01 2024-03-31 0
41 A033AW GRANICIP 1MG/ML INJ (TPP) GRANISETR (BQ) 3ML VIAL BQ 6.2521 1MG/ML 6 2024-04-01 2026-03-31 6
42 A033AW GRANICIP 1MG/ML INJ (TPP) GRANISETR 3ML VIAL BQ 6.47 1MG/ML 6 2026-04-01 No No 0
42 A033AX GRANI-DENK 1MG/ML INJ (EDK) GRANISETRON 5X1ML BQ 2.99 1MG/ML 6 2026-04-01 No No 0