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 A9811 HYPERIUM 1MG TAB (SER) RILMENIDINE (C) 30'S C 0.7385 1MG 60 2024-04-01 2026-03-31 6
41 A9812 HYPERIUM 1MG TAB (SER) RILMENIDINE (C) 30'S C 0.7385 1MG 60 2024-04-01 2026-03-31 6
40 A9813 RILMENIDINE 1MG TAB (KWA/ATB) 3X10 C 3.26 1MG 0 2022-04-01 2024-03-31 0