Displaying 1 - 7 of 7
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 0051F CAPECITABINE 150MG TAB (INP/AHI) 6X10 BQ 3.24 150MG 0 2022-04-01 2024-03-31 6
41 0051J CAPECITABINE 150MG TAB (WAT) 60'S BQ 2.9222 150MG 230 2024-04-01 2026-03-31 6
40 00521 XELODA 500MG TAB (ROC/AHI) CAPECITABINE 120'S C 2.72 500MG 0 2022-04-01 2024-03-31 0
40 00527 KAPETRAL 500MG TAB (REM/SBI) CAPECITABINE 120'S BQ 0.86 500MG 0 2022-04-01 2024-03-31 6
41 00527 KAPETRAL 500MG TAB (REM) CAPECITABINE (BQ) 120'S BQ 0.6968 500MG 60 2024-04-01 2026-03-31 6
41 0052AH CAPETAZ 500MG TAB (ZUV) CAPECITABINE (BQ) 120'S BQ 0.3425 500MG 60 2024-04-01 2024-05-20 6
41 0052HF CAPETAZ 500MG TAB (ZUV) CAPECITABINE 30'S BQ 1.0523 500MG 60 2024-04-11 2026-03-31 6