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
42 60717 KLION D 100MG|100MG VAG OV (CHW) METRONI 10'S A 11.15 100MG|100MG 1 2026-04-01 No No 0
42 6071C DREZ-V 1%|2% GEL (STA) METRONIDAZOLE|MICONAZOLE 30G A 6.85 1%|2% 1 2026-04-01 No No 0