Contracted Products [ACCORD MITOMYCIN 5MG INJ (INP/AAL) MITOMYCIN]

Contract Number	40
Brand Name	ACCORD MITOMYCIN 5MG INJ (INP/AAL) MITOMYCIN
Package Size	5MG VIAL
Formulary Category	BQ
Unit Price	203.06
Strength	5MG
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