Contracted Products [NITROCARD 0.4MG SPRAY (ARP/AHI) GLYCERYL TRIN]

Contract Number	40
Brand Name	NITROCARD 0.4MG SPRAY (ARP/AHI) GLYCERYL TRIN
Package Size	200 DOSES
Formulary Category	A
Unit Price	17.61
Strength	0.4MG
Max. Reimbursable / Month	1
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6