Displaying 1 - 3 of 3
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 50512 HYDROGEN PEROXIDE 6% (FED/ATB) 150ML B 0.02 6% 0 2022-05-11 2024-03-31 Change Local Agent 0
40 50514 HYDROGEN PEROXIDE 6% (FED/RXP) 150ML B 0.02 6% 0 2022-04-01 2022-05-11 Delete from contract 0
40 5051H HYDROGEN PEROXIDE 6% (THR/SBI) 200ML B 0.01 6% 0 2022-04-01 2024-03-31 0