Displaying 1 - 9 of 9
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 66511 INALIX SR 1.5MG TAB (HEA/RXP) INDAPAMIDE 3X10 C 0.10 1.5MG 0 2022-04-01 2024-03-31 0
40 6651A NATRILIX SR 1.5MG TAB (SER/STO) INDAPAMIDE 30'S A 0.20 1.5MG 30 2022-04-01 2024-03-31 6
41 6651A NATRILIX SR 1.5MG SR TAB (SER) INDAPAMIDE 30'S A 0.2057 1.5MG 30 2024-04-01 2026-03-31 6
42 6651A NATRILIX SR 1.5MG SR TAB (SER) INDAPAMIDE 30'S A 0.21 1.5MG 30 2026-04-01 No No 6
40 6651AJ NATRILIX SR 1.5MG TAB (SER/COL) INDAPAMIDE 30'S A 0.20 1.5MG 30 2022-04-01 2024-03-31 6
41 6651AJ NATRILIX SR 1.5MG SR TAB (SER) INDAPAMIDE 30'S A 0.2057 1.5MG 30 2024-04-01 2026-03-31 6
42 6651AJ NATRILIX SR 1.5MG SR TAB (SER) INDAPAMIDE 30'S A 0.21 1.5MG 30 2026-04-01 No No 6
40 6651AL INALIX SR 1.5MG TAB (HEA/ATB) INDAPAMIDE (C) 3X10 C 0.097 1.5MG 2022-12-07 2024-03-31 No No Change Local Agent 0
42 6651AP INALIX 1.5MG SR TAB (HEA) INDAPAMIDE 3X10 C 0.10 1.5MG 30 2026-04-01 No No 6