Displaying 1 - 3 of 3
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 05313 APO-AZATHIOPRINE 50MG TAB (APO/COL) 100'S A 0.29 50MG 180 2022-04-01 2024-03-31 6
40 0531A AZATHIOPRINE 50MG TAB (RPG/AHI) 100'S A 0.28 50MG 180 2022-04-01 2024-03-31 6
40 0531V IMURAN 50MG TAB (ASG/STO) AZATHIOPRINE 100'S C 1.74 50MG 0 2022-04-01 2024-03-31 0