Displaying 1 - 3 of 3
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 09415 PANCURONIUM BROMIDE 2MG/ML INJ (CIR (B) 10X2ML B 5.2301 2MG/ML 0 2024-04-01 2026-03-31 0
40 0941F PANCURONIUM BROMIDE 2MG/ML INJ (RTM/PHA) 5X2ML BQ 8.05 2MG/ML 0 2022-04-01 2024-03-31 0
41 0941F PANCURONIUM BROMIDE 2MG/ML INJ (RTM (B) 5X2ML B 22.9263 2MG/ML 0 2024-04-01 2026-03-31 0