Contracted Products [AMPHIZOME 50MG INJ (FSB/ATB) AMPHOTERICIN B]

Contract Number	40
Brand Name	AMPHIZOME 50MG INJ (FSB/ATB) AMPHOTERICIN B
Package Size	5ML
Formulary Category	BQ
Unit Price	24.46
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