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 4994AU NOLVADEX -D 20MG TAB (AZN/COL) TAMOXIFEN 30'S A 0.45 20MG 60 2022-04-01 2024-03-31 6
41 4994AU NOLVADEX -D 20MG TAB (AZN) TAMOXIFEN 30'S A 0.4531 20MG 60 2024-04-01 2026-03-31 6