Displaying 1 - 8 of 8
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 50411 ELOXATIN 50MG SOLN (SFA/COL) OXALIPLATIN 50MG VIAL BQ 67.96 50MG 0 2022-04-01 2024-03-31 0
41 50411 ELOXATIN 50MG INJ SOLN (SFA) OXALIPLATIN (BQ) 50MG VIAL BQ 182.1277 50MG 0 2024-04-01 2026-03-31 0
40 5041P OXALIPLATIN 50MG SOLN FOR INJ (FSB/ATB) 50MG VIAL BQ 38.06 50MG 0 2022-04-01 2024-03-31 0
40 5041V OXALITHER 50MG SOLN FOR INJ (TPP/AHI) OXALIPLATIN 50MG VIAL BQ 46.18 50MG 0 2022-04-01 2024-03-31 0
40 50421 ELOXATIN 100MG SOLN FOR INJ (SFA/COL) OXALIPLATIN 20ML B 135.92 100MG 0 2022-04-01 2024-03-31 0
41 50421 ELOXATIN 5MG/ML INJ SOLN (SFA) OXALIPLATIN (C) 20ML C 326.1989 5MG/ML 0 2024-04-01 2026-03-31 0
41 5042AB OXALIPLATIN 5MG/ML INJ SOLN (CHC) (BQ) 20ML BQ 49.2017 5MG/ML 0 2024-04-01 2026-03-31 0
41 50431 OXALIPLATIN 5MG/ML INJ SOLN (KWA) 40ML BQ 124.7711 5MG/ML 0 2024-04-01 2026-03-31 0