Displaying 1 - 6 of 6
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 09712 IFA 40MG | 0.04MG SYR (CAR/COL) FERROUS SULPHAT 125ML A 0.06 40MG|0.04MG 375 2022-04-01 2024-03-31 6
41 09712 IFA 40MG|0.04MG SYR (CAR) FERROUS SULPHA 125ML A 0.0644 40MG|0.04MG 375 2024-04-01 2026-03-31 6
40 09911 IFA 200MG | 0.4MG TAB (CAR/COL) FERROUS SULPHATE | FOLIC ACID 300'S C 0.12 200MG|0.4MG 0 2022-04-01 2024-03-31 0
40 0991J FERROUS SULPHATE | FOLIC ACID 200MG | 0.4MG TAB (LRL/COL) 1000'S A 0.04 200MG|0.4MG 90 2022-04-01 2024-03-31 6
41 0991J FERROUS SULPHATE|FOLIC ACID 200MG|0.4MG TAB (LRL) 1000'S A 0.0287 200MG|0.4MG 90 2024-04-01 2026-03-31 6
40 0991W FERROUS SULPHATE | FOLIC ACID 200MG | 0.4MG TAB (FSB/ATB) 1000'S A 0.02 200MG|0.4MG 90 2022-09-02 2024-03-31 Name Change 6