Displaying 1 - 2 of 2
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 4181BE KEYTRUDA 25MG/ML INJ (MSD/STO) PEMBROLIZUMAB 4ML VIAL C 9,766.50 25MG/ML 0 2022-04-01 2024-03-31 0
41 4181BE KEYTRUDA 25MG/ML INJ (MSD) PEMBROLI (C) 4ML VIAL C 9766.5032 25MG/ML 0 2024-04-01 2026-03-31 0