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 A7811 FEMARA 2.5MG TAB (NVS/COL) LETROZOLE 30'S C 10.42 2.5MG 0 2022-04-01 2024-03-31 0
41 A7811 FEMARA 2.5MG TAB (NVS) LETROZOLE (C) 30'S C 9.0611 2.5MG 30 2024-04-01 2026-03-31 6
42 A7811 FEMARA 2.5MG TAB (NVS) LETROZOLE 30'S C 9.06 2.5MG 30 2026-04-01 No No 6
41 A7815 LETROL 2.5MG TAB (INP) LETROZOLE 30'S A 0.241 2.5MG 30 2024-04-01 2026-03-31 6
40 A7818 APO-LETROZOLE 2.5MG TAB (APO/COL) 30'S A 0.25 2.5MG 30 2022-04-01 2024-03-31 6
42 A7818 APO-LETROZOLE 2.5MG TAB (APO) 30'S A 0.30 2.5MG 30 2026-04-01 No No 6
42 A781AE ENDOFREE 2.5MG TAB (INC) LETROZOLE 10'S A 0.22 2.5MG 30 2026-04-01 No No 6
40 A781J LETROZOLE 2.5MG TAB (KWA/ATB) 30'S A 0.30 2.5MG 30 2022-04-01 2024-03-31 6
41 A781U APO-LETROZOLE 2.5MG TAB (APO) 30'S A 0.2501 2.5MG 30 2024-04-01 2026-03-31 6