Displaying 1 - 4 of 4
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 5821AP SILVER SULPHADIAZINE 1% CR (KWA) (B) 400G B 12.7489 1% 1 2024-04-01 2026-03-31 0
40 5821AZ SILVER SULPHADIAZINE 1% CR (FSB/ATB) 400G B 16.23 1% 0 2022-04-01 2024-03-31 Price Change 0
41 5821BB SILVERKANT 1% CR (SKH) SILVER SULPHADIAZINE 30G A 3.262 1% 1 2024-04-01 2026-03-31 0
40 5821M SILVERKANT 1% CR (SKH/RXP) SILVER SULPHADIAZI 30G A 3.21 1% 1 2022-04-01 2024-03-31 0