LeZyncet Current Prescriber List (ENT) Name of the CBA: __________________________________
Sr. No. 1 Dr. 2 Dr. 3 Dr. 4 Dr. 5 Dr. 6 Dr. 7 Dr. 8 Dr. 9 Dr. 10 Dr.
Name of the Doctor
HQ:__________________________
Area
st (ENT)
__________________________ LeZyncet Business (Per Month in Rs.)
LeZyncet Current Prescriber List (CP) Name of the CBA: __________________________________
Sr. No. 1 Dr. 2 Dr. 3 Dr. 4 Dr. 5 Dr. 6 Dr. 7 Dr. 8 Dr. 9 Dr. 10 Dr.
Name of the Doctor
HQ:__________________________
Area
st (CP)
__________________________ LeZyncet Business (Per Month in Rs.)
LeZyncet Current Prescriber List (GP) Name of the CBA: __________________________________
Sr. No. 1 Dr. 2 Dr. 3 Dr. 4 Dr. 5 Dr. 6 Dr. 7 Dr. 8 Dr. 9 Dr. 10 Dr.
Name of the Doctor
HQ:__________________________
Area
st (GP)
__________________________ LeZyncet Business (Per Month in Rs.)
LeZyncet Current Prescriber List (Derma) Name of the CBA: __________________________________
Sr. No. 1 Dr. 2 Dr. 3 Dr. 4 Dr. 5 Dr. 6 Dr. 7 Dr. 8 Dr. 9 Dr. 10 Dr.
Name of the Doctor
HQ:__________________________
Area
(Derma)
__________________________ LeZyncet Business (Per Month in Rs.)