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
41 5422G TOBRAMYCIN 40MG/ML INJ (DIL) (BQ) 25X2ML BQ 19.2958 40MG/ML 0 2024-04-01 2026-03-31 0
40 5422J TOCIN 40MG/ML INJ (UBI/RXP) TOBRAMYCIN 2ML VIAL BQ 8.97 40MG/ML 0 2022-04-01 2024-03-31 6