Displaying 1 - 6 of 6
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 07027 MESTINON 60MG TAB (VCL/COL) PYRIDOSTIGMINE 100'S C 2.17 60MG 0 2022-04-01 2024-03-31 0
41 07027 MESTINON 60MG TAB (VCL) PYRIDOSTIGMINE (C) 100'S C 2.1747 60MG 180 2024-04-01 2026-03-31 6
42 07027 MESTINON 60MG TAB (VCL) PYRIDOSTIGMINE 100'S C 2.17 60MG 180 2026-04-01 No No 6
40 0702C PYRIDOSTIGMINE 60MG TAB (SLS/AHI) 50'S A 0.62 60MG 180 2022-04-01 2024-03-31 6
41 0702F PYRIDOSTIGMINE 60MG TAB (FSB) 30'S A 0.2736 60MG 180 2024-04-01 2026-03-31 6
42 0702K PYRIDOSTIN 60MG TAB (JLP) PYRIDOSTIGMINE 10X10 A 0.54 60MG 180 2026-04-01 No No 6