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
41 0182E PENICILLIN G BENZATHINE 2.4MU INJ (JOL) 20X4ML B 0.405 2.4MU 0 2024-04-01 2026-03-31 0
40 0182F PENICILLIN G BENZATHINE 2.4MU INJ (CHC/ATB) 2.4MU VIAL B 10.33 2.4MU 0 2022-04-01 2024-03-31 6