Contracted Products [DACTINOTEC 500MCG INJ (UBI/RXP) ACTINOMYCIN D]

Contract Number	40
Brand Name	DACTINOTEC 500MCG INJ (UBI/RXP) ACTINOMYCIN D
Package Size	500MCG
Formulary Category	BQ
Unit Price	31.26
Strength	500MCG
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