Displaying 1 - 12 of 12
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 6691AH ESTROTAB 2MG TAB (ABB/PHA) OESTRADIOL 30'S C 12.91 2MG 0 2022-04-01 2024-03-31 0
40 6691AH ESTROTAB 2MG TAB (ABB/PHA) OESTRADIOL (C) 30'S C 12.91 2MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 6691AJ ESTROTAB 1MG PACK (ABB/PHA) OESTRADIOL 30'S C 10.33 1MG 0 2022-04-01 2024-03-31 0
40 6691AJ ESTROTAB 1MG PACK (ABB/PHA) OESTRADIOL (C) 30'S C 10.33 1MG 2022-04-01 2023-03-31 No No Change Local Agent 0
40 6691K PROGYNOVA 1MG TAB (BSP/AHI) OESTRADIOL 28'S A 10.33 1MG 1 2022-04-01 2024-03-31 6
41 6691K PROGYNOVA 1MG TAB (BSP) OESTRADIOL 28'S A 10.3296 1MG 1 2024-04-01 2026-03-31 6
40 6691L PROGYNOVA 2MG TAB (BSP/AHI) OESTRADIOL 28'S A 11.96 2MG 1 2022-04-01 2024-03-31 6
41 6691L PROGYNOVA 2MG TAB (BSP) OESTRADIOL 28'S A 11.9606 2MG 1 2024-04-01 2026-03-31 6
40 6691S PROGYNOVA 1MG TAB (BSP/COL) OESTRADIOL 28'S A 10.33 1MG 1 2022-04-01 2024-03-31 6
41 6691S PROGYNOVA 1MG TAB (BSP) OESTRADIOL 28'S A 10.3296 1MG 1 2024-04-01 2026-03-31 6
40 6691T PROGYNOVA 2MG TAB (BSP/COL) OESTRADIOL 28'S A 11.96 2MG 1 2022-04-01 2024-03-31 6
41 6691T PROGYNOVA 2MG TAB (BSP) OESTRADIOL 28'S A 11.9606 2MG 1 2024-04-01 2026-03-31 6