Displaying 1 - 4 of 4
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 3051E OXYTOCIN 10U/ML INJ (RTM/PHA) 10X1ML BQ 0.97 10U/ML 0 2022-04-01 2022-05-31 0
40 3051E OXYTOCIN 10U/ML INJ (RTM/PHA) 10X1ML BQ 1.24 10U/ML 0 2022-06-01 2024-03-31 Price Change 0
41 3051E OXYTOCIN 10U/ML INJ (RTM) (BQ) 10X1ML BQ 1.033 10U/ML 0 2024-04-01 2026-03-31 0
41 3051W OXYTOCIN 10U/ML INJ (KWA) (BQ) 10X1ML BQ 0.8318 10U/ML 0 2024-04-01 2026-03-31 0