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 B5831 APO-NABILONE 1MG CAP (APO/COL) 50'S A 1.32 1MG 30 2022-04-01 2024-03-31 6
40 B5832 APO-NABILONE 0.25MG CAP (APO/COL) 50'S A 0.46 0.25MG 30 2022-04-01 2024-03-31 6