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 0012AN MEQUILAN 5MG TAB (CAR/COL) MEQUITAZINE 112'S A 0.38 5MG 28 2022-04-01 2024-03-31 0
41 0012AN MEQUILAN 5MG TAB (CAR) MEQUITAZINE 112'S A 0.3786 5MG 28 2024-04-01 2026-03-31 0