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 05415 BLEOMYCIN SULPHATE 15MG INJ (CIP/AHI) 15MG VIAL BQ 44.85 15MG 0 2022-04-01 2024-03-31 0
41 0541E BLEOMYCIN SULPHATE 15MG INJ (KWA) (BQ) 15MG VIAL BQ 34.0062 15MG 30 2024-04-01 2026-03-31 6