Contracted Products [NYSTATIN 100,000U/ML SUSP (FSB)]

Contract Number	42
Brand Name	NYSTATIN 100,000U/ML SUSP (FSB)
Package Size	60ML
Formulary Category	A
Unit Price	0.09
Strength	100,000U/ML
Max. Reimbursable / Month	180
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description	Add to Contract as Cat A
Max Repeats	0