Contracted Products [LAHYZINE 20MG/ML INJ (LDP/AHI) HYDRALLAZINE]

Contract Number	40
Brand Name	LAHYZINE 20MG/ML INJ (LDP/AHI) HYDRALLAZINE
Package Size	20MG VIAL
Formulary Category	B
Unit Price	5.71
Strength	20MG/ML
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