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
41 0012EA DESLORA-DENK 5MG TAB (EDK/COL) DESLORATADINE 10'S C 0.2066 5MG 0 0
40 0012EA DESLORA-DENK 5MG TAB (EDK/COL) DESLORATADINE 10'S C 0.31 5MG 0 2022-04-01 2024-03-31 0
41 0012EY AERIUS 5MG TAB (MSD/STO) DESLORATADINE 30'S C 0.84 5MG 0 0
40 0012EY AERIUS 5MG TAB (MSD/STO) DESLORATADINE 30'S C 0.83 5MG 0 2022-04-01 2024-03-31 0
40 0013BK AERIUS 0.5MG/ML SYR (MSD/STO) DESLORATADINE 60ML C 0.20 0.5MG/ML 0 2022-04-01 2024-03-31 0