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
40 0951L SUXAMETHONIUM 50MG/ML INJ (SLS/AHI) 10X10ML B 4.31 50MG/ML 0 2022-04-01 2024-03-31 0
41 0951N LASULINE PLUS 50MG/ML INJ (LDP) SUXAMETHONIUM 10X10ML B 13.3742 50MG/ML 100 2024-04-01 2026-03-31 0