Displaying 1 - 7 of 7
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 A3611 ARCALION 200MG TAB (SER/STO) SULBUTIAMINE 20'S C 1.19 200MG 0 2022-04-01 2024-03-31 0
41 A3611 ARCALION 200MG TAB (SER) SULBUTIAMINE (C) 20'S C 1.2232 200MG 0 2024-04-01 2026-03-31 0
42 A3611 ARCALION 200MG TAB (SER) SULBUTIAMINE 20'S C 1.22 200MG 0 2026-04-01 No No 0
40 A3612 ARCALION 200MG TAB (SER/COL) SULBUTIAMINE 20'S C 1.19 200MG 0 2022-04-01 2024-03-31 0
41 A3612 ARCALION 200MG TAB (SER) SULBUTIAMI (C) 20'S C 1.2232 200MG 0 2024-04-01 2026-03-31 0
42 A3612 ARCALION 200MG TAB (SER) SULBUTIAMI 20'S C 1.22 200MG 0 2026-04-01 No No 0
40 A3613 SULBUTIAMINE 200MG TAB (KWA/ATB) 20'S C 0.61 200MG 0 2022-04-01 2024-03-31 0