Displaying 1 - 9 of 9
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 3501AA VITAMIN C 250MG TAB (FSB/ATB) 10X10 B 0.05 250MG 0 2022-04-01 2024-03-31 6
40 3501AQ VITAMIN C 500MG TAB (FSB/ATB) 200'S B 0.05 500MG 0 2022-04-01 2024-03-31 Price Change 6
41 3501AS DR. C 250MG TAB (HEA) VITAMIN C (B) 10X10 B 0.0916 250MG 30 2024-04-01 2026-03-31 6
42 3501AT VITAMIN C 250MG TAB (LDP) 100'S B 0.08 250MG 30 2026-04-01 No No 6
42 3501AU VITAMIN C 500MG TAB (LDP) 100'S B 0.09 500MG 30 2026-04-01 No No 6
42 3501AY VITA C EZE 500MG TAB (INF) VITAMIN C 10X10 B 0.10 500MG 30 2026-04-01 No No 6
40 3501Z VITAMIN C 500MG TAB (KWA/ATB) 100'S B 0.07 500MG 30 2022-04-07 2022-09-30 6
41 3501Z VITAMIN C 500MG TAB (KWA) (B) 100'S B 0.0802 500MG 30 2024-04-01 2026-03-31 6
40 35027 VITAMIN C 250MG/ML INJ (LDP/AHI) 10X2ML BQ 4.89 250MG/ML 0 2022-04-01 2024-03-31 0