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 73814 RYTHMONORM 150MG TAB (ABB/PHA) PROPAFENONE 30'S C 0.69 150MG 0 2022-04-01 2024-03-31 0
40 73814 RYTHMONORM 150MG TAB (ABB/PHA) PROPAFENONE (C) 30'S C 0.685 150MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 73815 APO-PROPAFENONE 150MG TAB (APO/COL) 100'S C 0.64 150MG 0 2022-04-01 2024-03-31 0
41 73819 APO-PROPAFENONE 150MG TAB (APO) 100'S C 0.6538 150MG 0 2024-04-01 2026-03-31 0
42 7381A RYTMONORM 150MG TAB (ABB) PROPAFENONE 30'S C 0.65 150MG 0 2026-04-01 No No 0