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 73911 NIMOTOP 0.2MG/ML INJ (BSP/COL) NIMODIPINE 50ML VIAL BQ 43.49 0.2MG/ML 0 2022-04-01 2024-03-31 0
40 73913 NIMOTOP 0.2MG/ML INJ (BSP/AHI) NIMODIPINE 50ML VIAL BQ 43.49 0.2MG/ML 0 2022-04-01 2024-03-31 0