Displaying 1 - 4 of 4
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 4331G TASIGNA 150MG CAP (NVS/COL) NILOTANIB 112'S C 102.60 150MG 0 2022-04-01 2024-03-31 0
41 4331G TASIGNA 150MG CAP (NVS) NILOTANIB (BQ) 112'S BQ 67.9581 150MG 0 2024-04-01 2026-03-31 0
40 4332B TASIGNA 200MG CAP (NVS/COL) NILOTANIB 112'S C 118.16 200MG 0 2022-04-01 2024-03-31 0
41 4332B TASIGNA 200MG CAP (NVS) NILOTANIB (BQ) 112'S BQ 92.2288 200MG 0 2024-04-01 2026-03-31 0