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 42013 PRETERAX 0.625MG | 2.5MG TAB (SER/STO) INDAPAMIDE | PERINDOPRIL 30'S C 1.22 0.625MG|2.5MG 0 2022-04-01 2024-03-31 0
41 42013 PRETERAX 0.625MG|2.5MG TAB (SER) INDAPAMIDE|PERINDOPRIL (C) 30'S C 1.2368 0.625MG|2.5MG 0 2024-04-01 2026-03-31 0
40 42014 PRETERAX 0.625MG | 2.5MG TAB (SER/COL) INDAPAMIDE | PERINDOPRIL 30'S C 1.22 0.625MG|2.5MG 0 2022-04-01 2024-03-31 0
41 42014 PRETERAX 0.625MG|2.5MG TAB (SER) INDAPAMIDE|PERINDOPRIL (C) 30'S C 1.2368 0.625MG|2.5MG 0 2024-04-01 2026-03-31 0
40 42024 PRETERAX 2.5MG | 10MG TAB (SER/STO) INDAPAMIDE | PERINDOPRIL 30'S C 1.22 2.5MG|10MG 0 2022-04-01 2024-03-31 0
41 42024 PRETERAX 2.5MG|10MG TAB (SER) INDAPAMIDE|PERINDOPRIL (C) 30'S C 1.2368 2.5MG|10MG 0 2024-04-01 2026-03-31 0
41 42025 PRETERAX 1.25MG|5MG TAB (SER) INDAPAMIDE|PERINDOPRIL (C) 30'S C 1.2368 1.25MG|5MG 0 2024-04-01 2026-03-31 0
40 42027 PRETERAX 2.5MG | 10MG TAB (SER/COL) INDAPAMIDE | PERINDOPRIL 30'S C 1.22 2.5MG|10MG 0 2022-04-01 2024-03-31 0
41 42027 PRETERAX 2.5MG|10MG TAB (SER) INDAPAMIDE|PERINDOPRIL (C) 30'S C 1.2368 2.5MG|10MG 0 2024-04-01 2026-03-31 0
40 42028 PRETERAX 1.5MG | 5MG TAB (SER/COL) INDAPAMIDE | PERINDOPRIL 30'S C 1.22 1.5MG|5MG 0 2022-04-01 2024-03-31 0
41 42028 PRETERAX 1.25MG|5MG TAB (SER) INDAPAMIDE|PERINDOPRIL (C) 30'S C 1.2368 1.25MG|5MG 0 2024-04-01 2026-03-31 0
40 42029 PRETERAX 1.5MG | 5MG TAB (SER/STO) INDAPAMIDE | PERINDOPRIL 30'S C 1.22 1.5MG|5MG 0 2022-04-01 2024-03-31 0