Displaying 1 - 10 of 10
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 1101H PROPRANOLOL 10MG TAB (MBL/AHI) 30'S A 0.04 10MG 90 2022-04-01 2024-03-31 6
41 1101H PROPRANOLOL 10MG TAB (MBL) 30'S A 0.0417 10MG 90 2024-04-01 2026-03-31 6
40 1101X APO-PROPRANOLOL 10MG TAB (APO/COL) 100'S A 0.04 10MG 90 2022-04-01 2024-03-31 6
40 1102J APO-PROPRANOLOL 40MG TAB (APO/COL) 100'S A 0.05 40MG 180 2022-04-01 2024-03-31 6
41 1102M EMFORAL 40MG TAB (REM) PROPRANOLOL 5X10 A 0.0484 40MG 180 2024-04-01 2026-03-31 6
40 1102Z PROPRANOLOL 40MG TAB (MBL/AHI) 30'S A 0.04 40MG 180 2022-04-01 2024-03-31 6
41 1102Z PROPRANOLOL 40MG TAB (MBL) 30'S A 0.0471 40MG 180 2024-04-01 2026-03-31 6
40 1103E PROPRANOLOL 1MG/ML INJ (DIL/AHI) 10X1ML BQ 13.54 1MG/ML 0 2022-04-01 2024-03-31 0
41 1103E PROPRANOLOL 1MG/ML INJ (DIL) 10X1ML BQ 13.5372 1MG/ML 30 2024-04-01 2026-03-31 0
40 11045 ACCORD PROPRANOLOL 80MG TAB (INP/AAL) 56'S A 0.24 80MG 150 2022-04-01 2024-03-31 6