Contracted Products [HYDRALLAZINE 25MG TAB (LDP) ]

Contract Number	41
Brand Name	HYDRALLAZINE 25MG TAB (LDP)
Package Size	250'S
Formulary Category	A
Unit Price	0.0595
Strength	25MG
Max. Reimbursable / Month	120
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6