Displaying 1 - 5 of 5
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 0111DL CEFADROXIL 500MG CAP (KWA/ATB) 10X10 A 0.23 500MG 28 2022-04-01 2024-03-31 0
41 0111FA ADORA 500MG CAP (INC/AHI) CEFADROXIL 20'S A 0.4037 500MG 28 0
41 0111FB BACTERAM 500MG TAB (MBL/AHI) CEFADROXIL 12'S A 0.4259 500MG 28 0
40 0112BB CEFADROXIL MK 50MG/ML SUSP (BON/COL) CEFADROX 60ML A 0.14 50MG/ML 120 2022-04-01 2024-03-31 0
41 0112CK CEFADROXIL 50MG/ML SUSP (MBL/AHI) 60ML A 0.1327 50MG/ML 120 0