Contracted Products [ACTINOMYCIN D 500MCG INJ (KWA) DACTINOMYCIN]

Contract Number	42
Brand Name	ACTINOMYCIN D 500MCG INJ (KWA) DACTINOMYCIN
Package Size	500MCG VIA
Formulary Category	BQ
Unit Price	16.72
Strength	500MCG
Max. Reimbursable / Month	0
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description	Add to Contract
Max Repeats	0