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 5641BS C ZID 1G INJ (EMC/COL) CEFTAZIDIME 1G VIAL B 4.08 1G 0 2022-04-01 2024-03-31 6
41 5641BS C ZID 1G INJ (EMC) CEFTAZIDIME (B) 1G VIAL B 6.7958 1G 28 2024-04-01 2026-03-31 0
41 5641RV CEFTAZIDIME 1G INJ (SLS) (B) 1G VIAL B 5.3551 1G 28 2024-04-01 2026-03-31 0