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 0012BB APO-LORATADINE 10MG TAB (APO/COL) 100'S A 0.09 10MG 14 2022-04-01 2024-03-31 0
40 0012BK REMIDINE 10MG TAB (REM/SBI) LORATADINE 2x10 A 0.09 10MG 14 2022-04-01 2024-03-31 0
40 0012EJ LORATADINE 10MG TAB (KWA/ATB) 10X10 A 0.05 10MG 14 2022-04-01 2024-03-31 0
40 0012EX CLARITYNE 10MG TAB (BSP/COL) LORATADINE 30'S C 0.32 10MG 0 2022-04-01 2024-03-31 0
40 0012FA LORATADINE 10MG TAB (AUR/AHI) 100'S A 0.08 10MG 14 2022-04-01 2024-03-31 0
40 0013P LORATADINE 1MG/ML SYRUP (HEA/RXP) 100ML A 0.03 1MG/ML 120 2022-04-01 2024-03-31 0