Contracted Products [DAPSONE 100MG TAB (LDP/AHI) ]

Contract Number	40
Brand Name	DAPSONE 100MG TAB (LDP/AHI)
Package Size	100'S
Formulary Category	A
Unit Price	0.33
Strength	100MG
Max. Reimbursable / Month	90
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6