Displaying 1 - 5 of 5
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 44422 PROCYKEM 5MG TAB (CAR/COL) PROCYCLIDINE 1000'S A 0.06 5MG 240 2022-04-01 2024-03-31 6
41 44422 PROCYKEM 5MG TAB (CAR) PROCYCLIDINE 1000'S A 0.0598 5MG 240 2024-04-01 2026-03-31 6
42 44422 PROCYKEM 5MG TAB (CAR) PROCYCLIDINE 1000'S A 0.06 5MG 240 2026-04-01 No No 6
40 4442F PROCYCLIDINE 5MG TAB (KWA/ATB) 10X10 A 0.06 5MG 240 2022-04-01 2024-03-31 6
41 4442G CYCLID 5MG TAB (INC) PROCYCLIDINE 10X10 A 0.0329 5MG 240 2024-04-01 2026-03-31 6