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 23414 MATROPIN 2% EYE DR (ARP/AHI) HOMATROPINE 10ML A 14.11 2% 1 2022-04-01 2024-03-31 0
41 23415 HOMACID 2% EYE DR (SHC) HOMATROPINE 5ML A 1.2232 2% 1 2024-04-01 2026-03-31 0