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 4145AB NEVANAC 0.1% EYE DR (NVS/COL) NEPAFENAC 5ML C 16.55 0.1% 0 2022-04-01 2024-03-31 0
40 4145AE NEPAFENAC 0.1% EYE DR (CIR/AHI) 5ML A 7.48 0.1% 1 2022-04-01 2024-03-31 3