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 4141FX PONSTAN FORTE 500MG TAB (PFI/STO) MEFENAMIC A 50'S C 0.30 500MG 0 2022-04-01 2024-03-31 0
41 4141FX PONSTAN FORTE 500MG TAB (PFI) MEFEN (C) 50'S C 0.3055 500MG 0 2024-04-01 2026-03-31 0