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 51714 ZENTEL 200MG TAB (GSK/COL) ALBENDAZOLE 2'S A 2.10 200MG 6 2022-04-01 2024-03-31 1
40 51725 ALBENDAZOLE 40MG/ML SUSP (CIP/AHI) 10ML A 0.14 40MG/ML 30 2022-04-01 2024-03-31 1
40 5172B ZENTEL 40MG/ML SUSP (GSK/COL) ALBENDAZOLE 10ML C 0.42 40MG/ML 0 2022-04-01 2024-03-31 0
40 5172G WORMIZOLE 40MG/ML SUSP (HEA/RXP) ALBENDAZOLE 10ML A 0.14 40MG/ML 30 2022-04-01 2024-03-31 1