Displaying 1 - 11 of 11
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
41 58137 NIFELAT 20MG SR TAB (REM) NIFEDIPINE 10X10 A 0.0304 20MG 180 2024-04-01 2026-03-31 6
41 5813BX NIFELAT 30MG SR TAB (REM) NIFEDIPINE (C) 3X10 C 0.232 30MG 0 2024-04-01 2026-03-31 0
40 5813BY NIFEDIPINE SR 20MG TAB (HEA/RXP) NIFEDIPINE 10X10 A 0.04 20MG 180 2022-04-01 2024-03-31 6
40 5813CY NIFEDIPINE SR 20MG TAB (HEA/ATB) NIFEDIPINE 10X10 A 0.0405 20MG 180 2022-07-12 No No la 6
40 5813CY NIFEDIPINE SR 20MG TAB (HEA/ATB) NIFEDIPINE 10X10 A 0.0405 20MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 5813CY NIFEDIPINE 20MG SR TAB (HEA) 10X10 A 0.041 20MG 180 2024-04-01 2026-03-31 6
40 5813EQ NIFEDIPINE SR 30MG TAB (HEA/ATB) NIFEDIPINE (C) 3X10 C 0.3127 30MG 2022-12-07 2024-03-31 No No Change Local Agent 0
40 5813FQ NIFEDIPINE SR 30MG TAB (HEA/RXP) NIFEDIPINE 3X10 C 0.31 30MG 0 2022-04-01 2024-03-31 0
40 5813FR NIFEDIPINE SR 60MG TAB (HEA/RXP) NIFEDIPINE 3X10 C 0.54 60MG 0 2022-04-01 2024-03-31 0
40 5813FT NIFEDIPINE SR 60MG TAB (HEA/ATB) NIFEDIPINE (C) 3X10 C 0.539 60MG 2022-12-07 2024-03-31 No No Change Local Agent 0
41 5813FT NIFEDIPINE 60MG SR TAB (HEA) (C) 3X10 C 0.5409 60MG 0 2024-04-01 2026-03-31 0