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
41 5561AV MICOPSEC 2% VAG CR (CAR/COL) MICONAZOLE 45G A 17.6691 2% 1 0
40 5561AV MICOPSEC 2% VAG CR (CAR/COL) MICONAZOLE 45G A 15.22 2% 1 2022-04-01 2024-03-31 0