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 13511 BARALGIN 500MG TAB (SFA/COL) METAMIZOL 50'S C 0.48 500MG 0 2022-04-01 2024-03-31 0
40 1351C METAMIZOL 500MG TAB (HEA/RXP) 250'S A 0.07 500MG 30 2022-04-01 2024-03-31 0
40 1351E METAMIZOL 500MG TAB (HEA/ATB) 250'S A 0.0701 500MG 2022-12-07 2024-03-31 No No Change Local Agent 0
41 1351E METAMIZOL 500MG TAB (HEA) 250'S A 0.0725 500MG 30 2024-04-01 2026-03-31 0
40 13522 BARALGIN M 500MG/ML DROPS (SFA/COL) METAMIZOL 10ML A 8.15 500MG/ML 1 2022-04-01 2024-03-31 0
40 1353B METAMIZOL 500MG/ML INJ (MON/PHA) 10X2ML B 0.75 500MG/ML 0 2022-04-01 2024-03-31 0
41 1353E METAMIZOL 500MG/ML INJ (FSB) (B) 10X2ML B 0.7938 500MG/ML 0 2024-04-01 2026-03-31 0
40 13549 METAMIZOL 500MG/ML INJ (MON/PHA) 5X5ML B 1.33 500MG/ML 0 2022-04-01 2024-03-31 0
41 13549 METAMIZOL 500MG/ML INJ (MON) 5X5ML B 1.6636 500MG/ML 0 2024-04-01 2026-03-31 0