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
40 39629 EPILIM 40MG/ML SYR (SFA/COL) SODIUM VALPROATE 300ML A 0.12 40MG/ML 750 2022-04-01 2024-03-31 6
41 39629 EPILIM 40MG/ML SYR (SFA) SODIUM VALPROATE 300ML A 0.1173 40MG/ML 750 2024-04-01 2026-03-31 6
41 39648 SODIUM VALPROATE 100MG/ML INJ (DIL) (B) 10X5ML B 14.2658 100MG/ML 0 2024-04-01 2026-03-31 0