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 A801AH ASTROL 1MG TAB (INP/AAL) ANASTROZOLE 28'S B 0.17 1MG 0 2022-04-01 2024-03-31 6
41 A801AQ APO-ANASTROZOLE 1MG TAB (APO) (B) 100'S B 0.1713 1MG 30 2024-04-01 2026-03-31 6
40 A801X ARIMIDEX 1MG TAB (AZN/COL) ANASTROZOLE 28'S C 4.85 1MG 0 2022-04-01 2024-03-31 0
41 A801X ARIMIDEX 1MG TAB (AZN) ANASTROZOLE (C) 28'S C 4.8542 1MG 30 2024-04-01 2026-03-31 6