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 0671D UNIBLASTIN 10MG INJ (UBI/RXP) VINBLASTINE 10MG VIAL BQ 54.37 10MG 0 2022-04-01 2024-03-31 0
41 0671F VINBLASTINE 10MG INJ (KWA) (BQ) 10MG VIAL BQ 26.9386 10MG 0 2024-04-01 2026-03-31 0