Displaying 1 - 9 of 9
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 41811 MABTHERA 10MG/ML INJ (ROC/AHI) RITUXIMAB 100MG VIAL C 1,391.78 10MG/ML 0 2022-04-01 2024-03-31 0
41 41811 MABTHERA 10MG/ML INJ (ROC) RITUXIMAB (BQ) 100MG VIAL BQ 1391.7819 10MG/ML 0 2024-04-01 2026-03-31 0
40 4181BA REDITUX 10MG/ML INJ (DRL/AAL) RITUXIMAB 50ML C 383.56 10MG/ML 0 2022-04-01 2024-03-31 0
40 4181BB MABTHERA 10MG/ML INJ (ROC/AHI) RITUXIMAB 50ML C 3,479.45 10MG/ML 0 2022-04-01 2024-03-31 0
41 4181BB MABTHERA 10MG/ML INJ (ROC) RITUXIMA (BQ) 50ML BQ 3479.4547 10MG/ML 0 2024-04-01 2026-03-31 0
40 4181BC MABTHERA SC 1400MG INJ (ROC/AHI) RITUXIMAB 11.7ML C 4,392.81 1400MG 0 2022-04-01 2024-03-31 0
41 4181BC MABTHERA SC 1400MG INJ (ROC) RITUXIMAB (BQ) 11.7ML BQ 4392.8116 1400MG 0 2024-04-01 2026-03-31 0
41 4181N RITUXIMAB 10MG/ML INJ (RLS) (BQ) 10ML BQ 190.0108 10MG/ML 0 2024-04-01 2026-03-31 0
41 4181Y RIXATHON 10MG/ML INJ (BCH) RITUXIMAB (BQ) 2X10ML BQ 384.4525 10MG/ML 0 2024-04-01 2026-03-31 0