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 7581M ACCORD PIOGLITAZONE 15MG TAB (INP/AAL) PIOGLI 28'S C 0.91 15MG 0 2022-04-01 2024-03-31 0
41 7581N APO-PIOGLITAZONE 15MG TAB (APO) (C) 100'S C 0.4159 15MG 0 2024-04-01 2026-03-31 0
40 7582A APO-PIOGLITAZONE 30MG TAB (APO/COL) 100'S C 0.41 30MG 0 2022-04-01 2024-03-31 0
40 7582M ACCORD PIOGLITAZONE 30 MG TAB (INP/AAL) PIOGL 28'S C 0.43 30 MG 0 2022-04-01 2024-03-31 0
41 7582N APO-PIOGLITAZONE 30MG TAB (APO) (C) 100'S C 0.4159 30MG 0 2024-04-01 2026-03-31 0
41 7583B APO-PIOGLITAZONE 45MG TAB (APO) (C) 100'S C 0.2292 45MG 0 2024-04-01 2026-03-31 0