Displaying 1 - 4 of 4
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 2511AV KONSYL ORGANIC SF PWDR (KSY/COL) PSYLLIUM 340G C 48.93 0 2022-04-01 2024-03-31 0
40 2511AW KONSYL DAILY SF PWDR (KSY/COL) PSYLLIUM 402G A 32.86 1 2022-04-01 2024-03-31 6
40 2511AX KONSYL ORIGINAL PWDR (KSY/COL) PSYLLIUM 300G A 27.18 1 2022-04-01 2024-03-31 6
41 2511AX KONSYL ORIGINAL PWDR (KSY) PSYLLIU 300G A 29.4666 6G 1 2024-04-01 2026-03-31 6