Contracted Products [LIPITAS 40MG TAB (INP/AHI) ATORVASTATIN]

Contract Number	40
Brand Name	LIPITAS 40MG TAB (INP/AHI) ATORVASTATIN
Package Size	30'S
Formulary Category	A
Unit Price	0.1803
Strength	40MG
Max. Reimbursable / Month	30
Drug Contract Start Date	2023-03-20
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description	Add to Contract as Cat A
Max Repeats	6