Displaying 1 - 2 of 2
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 5172T LEVAM 8MG/ML SYR (FED/ATB) 30ML C 0.11 8MG/ML 0 2022-04-01 2022-05-11 Delete from contract 0
40 5172T LEVAM 8MG/ML SYR (FED/ATB) 30ML C 0.11 8MG/ML 0 2022-05-11 2024-03-31 Change Local Agent 0