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 5511AS NOVOFINE 32G (NOV/COL) PEN NEEDLES 100'S C 0.45 0 2022-04-01 2024-03-31 0
41 5511AS NOVOFINE 32G (NOV) PEN NEEDLES (C) 100'S C 0.4453 0 2024-04-01 2026-03-31 0