Displaying 1 - 8 of 8
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 14912 MAGNESIUM SULPHATE 50% INJ (MTP/COL) 10X2ML B 1.03 50% 0 2022-04-01 2024-03-31 0
41 14912 MAGNESIUM SULPHATE 50% INJ (MTP) (B) 10X2ML B 1.5195 50% 0 2024-04-01 2026-03-31 0
42 1491AF MAGNESIUM SULPHATE 50% INJ (JLP) 50X2ML B 0.82 50% 0 2026-04-01 No No 0
42 1491AH MAGNESIUM SULPHATE 50% INJ (FSB) 10X2ML B 0.61 50% 0 2026-04-01 No No Add to Contract as Cat B 0
40 1491R MAGNESIUM SULPHATE 50% INJ (MON/PHA) 10X2ML B 0.75 50% 0 2022-04-01 2024-03-31 0
42 1491R MAGNESIUM SULPHATE 50% INJ (MON) 10X2ML B 0.83 50% 0 2026-04-01 No No 0
41 1491T MAGNESIUM SULPHATE 50% INJ (KWA) (B) 10X2ML B 1.1091 50% 0 2024-04-01 2026-03-31 0
41 1491Z LASULPHATE 50% INJ (LDP) MAGNESIUM SULPHATE (B) 10X2ML B 1.892 50% 0 2024-04-01 2026-03-31 0