Displaying 1 - 3 of 3
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
42 7911AF NORGESIC 35MG|500MG TAB (GRM) ORPHENADRINE|PARACETAMOL 5X10 C 0.68 35MG|500MG 0 2026-04-01 No No 0
40 7911R NORGESIC 35MG | 500MG TAB (PMA/AHI) ORPHENADRINE | PARACETAMOL 10'S C 0.71 35MG|500MG 0 2022-04-01 2024-03-31 0
41 7911R NORGESIC 35MG|500MG TAB (PMA) ORPHENADRINE|PARACETAMOL (C) 10'S C 0.8155 35MG|500MG 0 2024-04-01 2026-03-31 0