Displaying 1 - 8 of 8
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 04612 SALAZOPYRINE E.C. 500MG TAB (PFI/STO) SULPHAS 100'S C 0.70 500MG 0 2022-04-01 2024-03-31 0
41 04612 SALAZOPYRINE E.C. 500MG TAB (PFI) SULPHA (C) 100'S C 0.7095 500MG 240 2024-04-01 2026-03-31 6
42 04612 SALAZOPYRIN 500MG TAB (PFI) SULPHASALAZINE 100'S C 0.71 500MG 240 2026-04-01 No No 6
40 0461C PMS-SULPHASALAZINE 500MG TAB (PMS/COL) 100'S A 0.24 500MG 240 2022-04-01 2024-03-31 6
41 0461C PMS-SULPHASALAZINE 500MG TAB (PMS) 100'S A 0.3887 500MG 240 2024-04-01 2026-03-31 6
42 0461C PMS-SULPHASALAZINE 500MG TAB (PMS) 100'S B 0.38 500MG 240 2026-04-01 No No 6
42 0461F SALAZAR 500MG TAB (ZYD) SULPHASALAZINE 30X10 B 0.30 500MG 240 2026-04-01 No No 6
41 64611 SULPHADIAZINE 500MG TAB (JOL) SILVER SULPHADIAZINE (C) 100'S C 0.7647 500MG 0 2024-04-01 2026-03-31 0