Displaying 1 - 3 of 3
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
41 51115 PROPYLTHIOURACIL 50MG TAB (MCP) 10X10 A 0.2025 50MG 270 2024-04-01 2026-03-31 6
40 51118 PROPYLTHIOURACIL 50MG TAB (HAL/COL) 100'S A 0.25 50MG 270 2022-04-01 2024-03-31 6
41 51118 PROPYLTHIOURACIL 50MG TAB (HAL) (C) 100'S C 0.252 50MG 270 2024-04-01 2026-03-31 6