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 4811D HYDROXYCOBALAMINE 1MG/ML INJ (RTM/PHA) 10X1ML B 1.49 1MG/ML 0 2022-04-01 2024-03-31 0
41 4811M HYDROXYCOBALAMINE 1MG/ML INJ (KWA) 10X1ML B 6.7931 1MG/ML 3 2024-04-01 2026-03-31 0