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 29813 AAP-MISOPROSTOL 200MCG TAB (APO/COL) 100'S BQ 0.92 200MCG 0 2022-04-01 2024-03-31 0
42 29813 AAP-MISOPROSTOL 200MCG TAB (APO) 100'S BQ 0.94 200MCG 0 2026-04-01 No No 0