Displaying 1 - 12 of 12
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 07515 DIVIDOL 10MG TAB (REM/SBI) HYOSCINE BUTYLBROM 100'S A 0.12 10MG 120 2022-04-01 2024-03-31 0
41 07515 DIVIDOL 10MG TAB (REM) HYOSCINE BUTYLBRO 100'S A 0.1038 10MG 120 2024-04-01 2026-03-31 0
42 07515 DIVIDOL 10MG TAB (REM) HYOSCINE BUTYLBRO 100'S A 0.10 10MG 120 2026-04-01 No No 0
40 0751J HYOSCINE BUTYLBROMIDE 10MG TAB (KWA/ATB) 10X10 A 0.21 10MG 120 2022-04-01 2022-09-30 0
40 0751N BUSCOPAN 10MG TAB (SFA/COL) HYOSCINE BUTYLBRO 100'S C 0.33 10MG 0 2022-04-01 2024-03-31 0
41 0751Q HYOSCINE BUTYLBROMIDE 10MG TAB (MPI) 100'S A 0.1144 10MG 120 2024-04-01 2026-03-31 0
40 0752F BUTYLSCOPOLAMINE 20MG/ML INJ (RTM/PHA) HYOSCINE BUTYLBROMIDE 10X1ML B 1.89 20MG/ML 0 2022-04-01 2024-03-31 0
41 0752F BUTYLSCOPOLAMINE 20MG/ML INJ (RTM) HYOSCINE BUTYLBROMIDE (B) 10X1ML B 1.9327 20MG/ML 20 2024-04-01 2026-03-31 0
42 0752F BUTYLSCOPOLAMINE 20MG/ML INJ (RTM) HYOSCINE BUTYLBROMIDE 10X1ML B 1.39 20MG/ML 20 2026-04-01 No No 0
40 0752K HYOSCINE BUTYLBROMIDE 20MG/ML INJ (MON/PHA) 10X1ML B 1.63 20MG/ML 0 2022-04-01 2024-03-31 0
40 0752L BUSCOPAN 20MG/ML INJ (SFA/COL) HYOSCINE BUTYL 10X1ML C 2.04 20MG/ML 0 2022-04-01 2024-03-31 0
41 0752M HYOSCINE BUTYLBROMIDE 20MG/ML INJ (FSB) (B) 10X1ML B 1.0656 20MG/ML 20 2024-04-01 2026-03-31 0