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 14641 TEGRETOL CR 400MG TAB (NVS/COL) CARBAMAZEPINE 30'S A 0.73 400MG 120 2022-04-01 2024-03-31 6
41 14641 TEGRETOL CR 400MG TAB (NVS) CARBAMAZEPINE CR 30'S A 0.7313 400MG 120 2024-04-01 2026-03-31 6
40 14651 TEGRETOL CR 200MG TAB (NVS/COL) CARBAMAZEPINE 50'S A 0.34 200MG 240 2022-04-01 2024-03-31 6