Displaying 1 - 7 of 7
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
41 A3421 PACLITAXEL 6MG/ML INJ (FSB) (BQ) 50ML BQ 53.4422 6MG/ML 25 2024-04-01 2026-03-31 6
40 A3425 CYTAX 6MG/ML INJ (INP/AHI) PACLITAXEL 50ML BQ 114.17 6MG/ML 0 2022-04-01 2024-03-31 0
41 A3428 PACLITAXEL 6MG/ML INJ (KWA) (BQ) 50ML BQ 63.7719 6MG/ML 25 2024-04-01 2026-03-31 6
42 A342AM PACLITOXIN 6MG/ML INJ (JLP) PACLITAXEL 50ML BQ 43.49 6MG/ML 25 2026-04-01 No No 0
40 A342B PACLITAXEL 6MG/ML INJ (KWL/RXP) 50ML BQ 88.62 6MG/ML 0 2022-04-01 2024-03-31 0
41 A342E ZAXOL 6MG/ML INJ (ZUV) PACLITAXEL 50ML BQ 64.4786 6MG/ML 25 2024-04-01 2026-03-31 6
42 A342E ZAXOL 6MG/ML INJ (ZUV) PACLITAXEL 50ML BQ 42.62 6MG/ML 25 2026-04-01 No No 0