Displaying 1 - 5 of 5
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 71318 ACCORD REPAGLINIDE 0.5MG TAB (INP/AAL) REPAGL 30'S C 1.95 0.5MG 0 2022-04-01 2024-03-31 0
40 71328 ACCORD REPAGLINIDE 1MG TAB (INP/AAL) REPAGLIN 30'S C 2.92 1MG 0 2022-04-01 2024-03-31 0
40 71331 NOVONORM 2MG TAB (NOV/COL) REPAGLINIDE 30'S C 0.91 2MG 0 2022-04-01 2024-03-31 0
41 71331 NOVONORM 2MG TAB (NOV) REPAGLINIDE 30'S C 0.9061 2MG 0 2024-04-01 2026-03-31 0
40 7133A REPAGLINIDE 1MG TAB (INP/AHI) 90'S C 0.27 1MG 0 2022-04-01 2024-03-31 0