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 5832F CONTINE CR 200MG TAB (ARP/AHI) THEOPHYLLINE 10X10 A 0.08 200MG 90 2022-04-01 2024-03-31 6
41 5832F CONTINE CR 200MG TAB (ARP) THEOPHYL 10X10 A 0.1 200MG 90 2024-04-01 2026-03-31 6