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
40 6251C POTASSIUM PHOSPHATE 3MMOL/ML INJ (LDP/AHI) 15ML BQ 11.74 3MMOL/ML 0 2022-04-01 2024-03-31 0
41 6251D POTASSIUM PHOSPHATE 3MMOL/ML INJ (KWA) (BQ) 15ML VIAL BQ 6.9317 3MMOL/ML 0 2024-04-01 2026-03-31 0