Displaying 1 - 4 of 4
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 6302AL CISATRACURIUM 2.5MG/ML INJ (OMG/COL) 10X10ML BQ 23.24 2.5MG/ML 0 2022-04-01 2024-03-31 0
40 6302AQ NIMBEX 2MG/ML INJ (ASG/STO) CISATRACURIUM 5X5ML BQ 22.83 2MG/ML 0 2022-04-01 2024-03-31 0
41 6302AQ NIMBEX 2MG/ML INJ (ASG) CISATRACURI (BQ) 5X5ML BQ 22.8339 2MG/ML 0 2024-04-01 2026-03-31 0
41 6302AR CISATRACURIUM 2.5MG/ML INJ (LDP) (BQ) 10ML BQ 19.6535 2.5MG/ML 400 2024-04-01 2026-03-31 0