Drugs available on Contract - [HUMALOG DISP. PEN 100U/ML INJ (LIL/STO) LISPR], []

40
B2217
HUMALOG DISP. PEN 100U/ML INJ (LIL/STO) LISPR
LISPRO
HUMALOG DISP. PEN
5X3ML
C
112.13
22.43
100U/ML
INJECTION
0
VIAL
LIL
ELI LILLY S.A.(PUERTO RICO BRA)
STO
BRYDEN STOKES LTD
B
Anti-Diabetic
2022-04-01
2024-03-31
0
No
682008
INSULINS
SC
0
HORMONES AND SYNTHETIC SUBSTITUTES