Displaying 1 - 8 of 8
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 15011 PHENOBARBITAL 15MG TAB (TEV/COL) PHENOBARBITO 28'S A 1.52 15MG 180 2022-04-01 2024-03-31 6
40 15024 BARBIFED 30MG TAB (FED/RXP) PHENOBARBITONE 500'S A 0.05 30MG 180 2022-04-01 2022-05-11 Delete from contract 6
40 15029 BARBIFED 30MG TAB (FED/ATB) PHENOBARBITONE 500'S A 0.05 30MG 180 2022-05-11 2024-03-31 Change Local Agent 6
40 1502S PHENOBARBITONE 30MG TAB (GPC/ATB) 1000'S A 0.02 30MG 180 2022-04-01 2024-03-31 6
40 15031 PHENOBARBITONE 60MG TAB (GPC/ATB) 1000'S A 0.02 60MG 180 2022-04-01 2024-03-31 6
41 15031 PHENOBARBITONE 60MG TAB (GPC) 1000'S A 0.0818 60MG 180 2024-04-01 2026-03-31 6
40 15052 PHENOBARBITAL 100MG/ML INJ (STP/COL) PHENOBAR 100X2ML B 3.53 100MG/ML 0 2022-04-01 2024-03-31 0
41 1505A PHENOBARBITONE 200MG/ML INJ (KWA) 1ML AMP B 124.7711 200MG/ML 0 2024-04-01 2026-03-31 0