Displaying 1 - 11 of 11
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 5231CV LAMISIL 1% CR (GSK/COL) TERBINAFINE 15G C 15.47 1% 0 2022-04-01 2024-03-31 0
41 5231CV LAMISIL 1% CR (GSK) TERBINAFINE (C) 15G C 16.2556 1% 2 2024-04-01 2026-03-31 0
40 5231CW LAMISIL 1% GEL (GSK/COL) TERBINAFINE 15G C 17.32 1% 0 2022-04-01 2024-03-31 0
41 5231CW LAMISIL 1% GEL (GSK) TERBINAFINE (C) 15G C 18.1856 1% 0 2024-04-01 2026-03-31 0
40 5231EJ TERBINAFINE 1% CR (KWA/ATB) 15G A 7.20 1% 2 2022-04-01 2024-03-31 0
41 5231EW TERBCARE 1% CR (BEX) TERBINAFINE 15G A 2.9358 1% 2 2024-04-01 2026-03-31 0
41 5231FJ FUNGI-EZE 1% CR (INF) TERBINAFINE 30G TUBE A 3.94 1% 2 2024-04-24 2026-03-31 0
40 5232AC LAMISIL 1% SPRAY (GSK/COL) TERBINAFINE 30ML C 34.11 1% 0 2022-04-01 2024-03-31 0
41 5232AC LAMISIL 1% SPRAY (GSK) TERBINAFINE (C) 30ML C 35.8003 1% 0 2024-04-01 2026-03-31 0
40 5232BF TERBINAFINE 1% LOTION (AUR/AHI) 30ML C 5.08 1% 0 2022-04-01 2024-03-31 0
41 5232BF TERBINAFINE 1% LOTION (AUR) 30ML A 5.2464 1% 1 2024-04-01 2026-03-31 6