Contracted Products [MINITRAN 5MG PATCH (PMA) GLYCERYL TRINIT (BQ)]

Contract Number	41
Brand Name	MINITRAN 5MG PATCH (PMA) GLYCERYL TRINIT (BQ)
Package Size	30'S
Formulary Category	BQ
Unit Price	54.3665
Strength	5MG
Max. Reimbursable / Month	6
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0