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 58619 LAMISIL 250MG TAB (NVS/COL) TERBINAFINE 14'S C 3.88 250MG 0 2022-04-01 2024-03-31 0
41 58619 LAMISIL 250MG TAB (NVS) TERBINAFINE (C) 14'S C 3.8833 250MG 28 2024-04-01 2026-03-31 6
42 58619 LAMISIL 250MG TAB (NVS) TERBINAFINE 14'S C 3.88 250MG 28 2026-04-01 No No 6
40 5861EU APO-TERBINAFINE 250MG TAB (APO/COL) 30'S A 0.33 250MG 28 2022-04-01 2024-03-31 6
42 5861EU APO-TERBINAFINE 250MG TAB (APO) 30'S A 0.34 250MG 28 2026-04-01 No No 6
40 5861JQ TERBINAFINE 250MG TAB (AUR/AHI) 50'S A 0.33 250MG 28 2022-04-01 2024-03-31 6
41 5861KB APO-TERBINAFINE 250MG TAB (APO) 30'S A 0.3434 250MG 28 2024-04-01 2026-03-31 6