Displaying 1 - 4 of 4
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 74715 CLOPIXOL ACUPHASE 50MG/ML(LUN/COL)ZUCLOPENTHI 5X1ML C 21.11 50MG/ML 0 2022-04-01 2024-03-31 0
40 74719 CLOPIXOL DEPOT 200MG/ML(LUN/COL)ZUCLOPENTHI 10X1ML C 37.47 200MG 0 2022-04-01 2024-03-31 0
40 7473C CLOPIXOL 10MG TAB (LUN/COL) ZUCLOPENTHIXOL 100'S C 4.85 10MG 0 2022-04-01 2024-03-31 0
40 7473J CLOPIXOL 2MG TAB (LUN/COL) ZUCLOPENTHIXOL 100'S C 4.85 2MG 0 2022-04-01 2024-03-31 0