Displaying 1 - 4 of 4
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 4121B METHYLPREDNISOLONE SODIUM SUCCINATE 500MG INJ (KWA/ATB) 500MG VIAL B 15.36 500MG 0 2022-04-01 2022-09-30 0
41 4121B METHYLPRED. SOD. SUCC. 500MG INJ (KWA) METHYLPREDNISOLONE SO (BQ) 500MG VIAL BQ 9.7044 500MG 0 2024-04-01 2026-03-31 0
40 4121D METHYLPREDNISOLONE SODIUM SUCCINATE 500MG INJ (MON/PHA) 10ML VIAL B 10.55 500MG 0 2022-04-01 2024-03-31 0
41 4121G METHYLPRED. SOD. SUCC. 500MG INJ (FSB) METHYLPREDNISOLONE SO (BQ) 500MG VIAL BQ 9.4326 500MG 0 2024-04-01 2026-03-31 0