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 0301Q CLINDATECH 150MG/ML INJ (UBI/RXP) CLINDAMYCIN 2ML AMP BQ 6.12 150MG/ML 0 2022-04-01 2024-03-31 6
41 0301S CLINDAMYCIN PHOSPHATE 150MG/ML INJ (FSB/ATB) 10X2ML B 2.9956 150MG/ML 112 0
40 0302AA LACLIDA 150MG/ML INJ (LDP/AHI) CLINDAMYCIN PH 10X4ML BQ 7.99 150MG/ML 0 2022-04-01 2024-03-31 6
41 0302AB CLINDAMYCIN PHOSPHATE 150MG/ML INJ (FSB/ATB) 10X4ML B 5.1702 150MG/ML 0 0