Displaying 1 - 4 of 4
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 23539 PHENYLEPHRINE 10MG/ML INJ (SLS/AHI) 1ML AMP B 22.07 10MG/ML 0 2022-04-01 2022-09-30 0
40 2353D PHRINTEC 10MG/ML IV/IM INJ (UBI/RXP) PHENYLEP 1ML VIAL B 10.60 10MG/ML IV/IM 0 2022-04-01 2024-03-31 0
41 2353F PHENYLEPHRINE 10MG/ML INJ (OMG) (BQ) 10X1ML BQ 6.6327 10MG/ML 0 2024-04-01 2026-03-31 0
42 2353G PHENYLEPHRINE 10MG/ML INJ (MTP) 10X1ML B 11.47 10MG/ML 0 2026-04-01 No No 0