Displaying 1 - 9 of 9
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 0481A FLAGYL 400MG TAB (SFA/COL) METRONIDAZOLE 14'S A 0.39 400MG 90 2022-04-01 2024-03-31 0
41 0481AY METRONIDAZOLE 250MG TAB (HEA) 10X10 A 0.0536 250MG 90 2024-04-01 2026-03-31 0
41 0481AZ AAP-METRONIDAZOLE 250MG TAB (APO) 500'S A 0.0574 250MG 90 2024-04-01 2026-03-31 0
40 0481K AAP-METRONIDAZOLE 250MG TAB (APO/COL) 500'S A 0.06 250MG 90 2022-04-01 2024-03-31 0
40 04826 METRONIDAZOLE + HANGERS 0.5% INJ (BRA/COL) 100ML B 1.85 0.5% 0 2022-04-01 2024-03-31 0
41 04826 METRONIDAZOLE + HANGERS 0.5% INJ (BRA) (B) 100ML B 1.9572 0.5% 0 2024-04-01 2026-03-31 0
41 0482AF METRONIDAZOLE 0.5% INJ (UNI) (B) 100ML B 1.8756 0.5% 0 2024-04-01 2026-03-31 0
40 04861 EPAQ 0.75% VAG CR (PMA/AHI) METRONIDAZOLE 40G A 27.46 0.75% 1 2022-04-01 2024-03-31 0
41 04862 EPAQ 0.75% VAG CR (PMA) METRONIDAZOLE 40G A 16.9895 0.75% 1 2024-04-01 2026-03-31 0