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 63416 STAMARIL (AVP/COL) YELLOW FEVER 1 DS SYRNG B 53.82 1000IU 0 2022-04-01 2024-03-31 0
41 63416 STAMARIL (AVP) YELLOW FEVER 1 DS VIAL B 53.8228 1000IU 20 2024-04-01 2024-10-21 0