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 02128 PRIMAXIN 500MG INJ (MSD/STO) IMIPENEM/CILASTA 25X500MG BQ 26.64 500MG|500MG 0 2022-04-01 2024-03-31 0
41 0212AR IMIPENEM|CILASTATIN 500MG|500MG INJ (SLS) CILASTATIN|IMIPENE (BQ) 500MG VIAL BQ 27.5638 500MG|500MG 0 2024-04-01 2026-03-31 0
41 0212BQ IMIPENEM/CILASTATIN |500MG INJ (LDP) CILASTATIN|IMIPENEM 1 DOSE BQ 27.56 500MG|500MG 2024-04-03 2026-03-31