Displaying 1 - 3 of 3
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 59613 GALVUSMET 500MG | 50MG TAB (NVS/COL) METFORMIN | VIDAGLIPTIN 56'S B 0.58 500MG|50MG 60 2022-04-01 2024-03-31 6
40 59623 GALVUSMET 850MG | 50MG TAB (NVS/COL) METFORMIN | VIDAGLIPTIN 56'S B 0.58 850MG|50MG 60 2022-04-01 2024-03-31 6
40 59633 GALVUSMET 1G | 50MG TAB (NVS/COL) METFORMIN | VIDAGLIPTIN 56'S B 0.58 1G|50MG 60 2022-04-01 2024-03-31 6