Contracted Products [HYDRALLAZINE 25MG TAB (FSB)]

Contract Number	42
Brand Name	HYDRALLAZINE 25MG TAB (FSB)
Package Size	10X10
Formulary Category	A
Unit Price	0.06
Strength	25MG
Max. Reimbursable / Month	120
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description	Add to Contract as Cat A
Max Repeats	6