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
40 10415 PROTAMINE SULPHATE 10MG/ML INJ (SLS/AHI) 25X5ML B 9.41 10MG/ML 0 2022-04-01 2024-03-31 0
41 10415 PROTAMINE SULPHATE 10MG/ML INJ (SLS) (B) 25X5ML B 9.4108 10MG/ML 20 2024-04-01 2026-03-31 0
42 1041B PROTAXCEL 10MG/ML INJ (JLP) PROTAMINE SULPHATE 5X5ML BQ 8.15 10MG/ML 20 2026-04-01 No No 0