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 6711V TRIZOLIN 400MG TAB (REM/SBI) NORFLOXACIN 2X7'S A 0.22 400MG 14 2022-04-01 2024-03-31 0
41 6711V TRIZOLIN 400MG TAB (REM) NORFLOXACIN 2X7'S A 0.3864 400MG 14 2024-04-01 2026-03-31 0