Displaying 1 - 15 of 15
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
42 10311 APO-WARFARIN 4MG TAB (APO) 100'S A 0.39 4MG 60 2026-04-01 No No 6
40 10313 APO-WARFARIN 4MG TAB (APO/COL) 100'S A 0.38 4MG 60 2022-04-01 2024-03-31 6
41 1031J APO-WARFARIN 4MG TAB (APO) 100'S A 0.3882 4MG 60 2024-04-01 2026-03-31 6
41 1032AB APO-WARFARIN 5MG TAB (APO) 100'S A 0.4382 5MG 60 2024-04-01 2026-03-31 6
40 1032Q APO-WARFARIN 5MG TAB (APO/COL) 100'S A 0.43 5MG 60 2022-04-01 2024-03-31 6
42 1032Q APO-WARFARIN 5MG TAB (APO) 100'S A 0.44 5MG 60 2026-04-01 No No 6
40 10333 APO-WARFARIN 3MG TAB (APO/COL) 100'S A 0.34 3MG 60 2022-04-01 2024-03-31 6
42 10333 APO-WARFARIN 3MG TAB (APO) 100'S A 0.35 3MG 60 2026-04-01 No No 6
41 1033R APO-WARFARIN 3MG TAB (APO) 100'S A 0.3493 3MG 60 2024-04-01 2026-03-31 6
40 10349 APO-WARFARIN 2MG TAB (APO/COL) 100'S A 0.13 2MG 60 2022-04-01 2024-03-31 6
42 10349 APO-WARFARIN 2MG TAB (APO) 100'S A 0.13 2MG 60 2026-04-01 No No 6
41 1034K APO-WARFARIN 2MG TAB (APO) 100'S A 0.1302 2MG 60 2024-04-01 2026-03-31 6
40 10357 APO-WARFARIN 1MG TAB (APO/COL) 100'S A 0.12 1MG 60 2022-04-01 2024-03-31 6
42 10357 APO-WARFARIN 1MG TAB (APO) 100'S A 0.12 1MG 60 2026-04-01 No No 6
41 1035S APO-WARFARIN 1MG TAB (APO) 100'S A 0.1248 1MG 60 2024-04-01 2026-03-31 6