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 A8317 MOBIC 15MG TAB (BOE/STO) MELOXICAM 30'S C 1.39 15MG 0 2022-04-01 2024-03-31 0
40 A831AN APO-MELOXICAM 15MG TAB (APO/COL) 100'S C 0.08 15MG 0 2022-04-01 2024-03-31 0