Displaying 1 - 2 of 2
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 37617 TYPHIM V1 (AVP/COL) TYPHOID 1 DS SYRNG B 31.80 25MCG 0 2022-04-01 2024-03-31 0
41 37617 TYPHIM V1 (AVP) TYPHOID 1 DS VIAL B 33.4082 25MCG 1 2024-04-01 2024-10-21 0