Displaying 1 - 6 of 6
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 1452K PETHIDINE 50MG/ML INJ (MTP/COL) 10X1ML BQ 1.22 50MG/ML 0 2022-04-01 2022-07-14 0
40 1452K PETHIDINE 50MG/ML INJ (MTP/COL) 10X1ML BQ 1.52 50MG/ML 0 2022-07-15 2024-03-31 Price Change 0
41 1452K PETHIDINE 50MG/ML INJ (MTP) (BQ) 10X1ML BQ 1.6609 50MG/ML 0 2024-04-01 2026-03-31 0
40 1453H PETHIDINE 50MG/ML INJ (MTP/COL) 10X2ML BQ 1.24 50MG/ML 0 2022-04-01 2022-07-14 0
40 1453H PETHIDINE 50MG/ML INJ (MTP/COL) 10X2ML BQ 1.53 50MG/ML 0 2022-07-15 2024-03-31 Price Change 0
41 1453H PETHIDINE 50MG/ML INJ (MTP) (BQ) 10X2ML BQ 1.6962 50MG/ML 0 2024-04-01 2026-03-31 0