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 0372B ISONIAZID 300MG TAB (MCP/AHI) 10X10 A 0.08 300MG 30 2022-04-01 2024-03-31 6
40 0373E ISONIAZID 100MG TAB (MCP/AHI) 10X10 A 0.06 100MG 30 2022-04-01 2024-03-31 6