Displaying 1 - 4 of 4
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 0861E NORADRENALINE 1MG/ML INJ (KWA/ATB) 10X4ML BQ 2.71 1MG/ML 0 2022-04-01 2024-03-31 0
41 0861E NORADRENALINE 1MG/ML INJ (KWA) (BQ) 10X4ML BQ 1.0547 1MG/ML 0 2024-04-01 2026-03-31 0
40 0861F NORADRENALINE 1MG/ML INJ (MON/PHA) 5X4ML BQ 3.31 1MG/ML 0 2022-04-01 2024-03-31 0
41 0861H LADRELINE 1MG/ML INJ (LDP) NORADRENALINE (BQ) 5X4ML BQ 2.8379 1MG/ML 0 2024-04-01 2026-03-31 0