Displaying 1 - 10 of 10
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 2002A SODIUM LACTATE CO. INJ (CSC/PHA) 500ML B 2.50 0 2022-04-01 2022-06-15 Price Change 0
40 2002A SODIUM LACTATE CO. INJ (CSC/PHA) 500ML B 3.35 0 2022-06-16 2024-03-31 Price Change 0
41 2002A SODIUM LACTATE CO. INJ (CSC) (B) 500ML B 2.4193 70 2024-04-01 2026-03-31 0
40 2002F SODIUM LACTATE (2B2323Q) 2.7MEQ/L | 1 INJ (BAX/STO) SODIUM LACTATE CO. 500ML B 2.47 2.7MEQ/L|109MEQ/L|28MEQ/L|4MEQ/L|130MEQ/L 0 2022-04-01 2024-03-31 0
40 20032 SODIUM LACTATE (2B2324X) INJ (BAX/STO) SODIUM LACTATE CO. 1 LITRE B 2.69 0 2022-04-01 2024-03-31 0
41 20032 SODIUM LACTATE (2B2324X) INJ (BAX) SODIUM LACTATE CO. (B) 1 LITRE B 5.5454 70 2024-04-01 2026-03-31 0
40 2003B SODIUM LACTATE INJ (CSC/PHA) 1 LITRE B 2.75 0 2022-04-01 2022-06-15 0
40 2003B SODIUM LACTATE INJ (CSC/PHA) 1 LITRE B 6.70 0 2022-06-16 2022-07-18 Price Change 0
40 2003B SODIUM LACTATE INJ (CSC/PHA) 1 LITRE B 3.56 0 2022-07-19 2024-03-31 Price Change 0
41 2003B SODIUM LACTATE CO. INJ (CSC) (B) 1 LITRE B 3.5338 70 2024-04-01 2026-03-31 0