Displaying 1 - 6 of 6
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 B011DK 3TC 150MG TAB (GSK/COL) LAMIVUDINE 60'S BL 0.71 150MG 0 2022-04-01 2024-03-31 0
40 B011EK LAMIVUDINE 150MG TAB (MAT/AHI) 30'S BL 0.38 150MG 0 2022-04-01 2024-03-31 0
41 B011EP APO-LAMIVUDINE 150MG TAB (APO) LAMI (BL) 60'S BL 1.2595 150MG 60 2024-04-01 2026-03-31 6
41 B0127 LAMIVUDINE 10MG/ML SOLN (MCP) (BL) 240ML BL 0.189 10MG/ML 0 2024-04-01 2026-03-31 0
40 B012T 3TC 10MG/ML SOLUTION (GSK/COL) LAMIVUDINE 240ML BL 0.25 10MG/ML 0 2022-04-01 2024-03-31 0
41 B012T 3TC 10MG/ML SOLUTION (GSK) LAMIVUDI (BL) 240ML BL 0.3171 10MG/ML 0 2024-04-01 2026-03-31 0