Contracted Products [AMPHOTIN 50MG INJ (UBI/RXP) AMPHOTERICIN B]

Contract Number	40
Brand Name	AMPHOTIN 50MG INJ (UBI/RXP) AMPHOTERICIN B
Package Size	50MG VIAL
Formulary Category	BQ
Unit Price	19.71
Strength	50MG
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0