Contracted Products [ISOSORBIDE DINITRATE 10MG TAB (FSB)]

Contract Number	42
Brand Name	ISOSORBIDE DINITRATE 10MG TAB (FSB)
Package Size	100'S
Formulary Category	A
Unit Price	0.03
Strength	10MG
Max. Reimbursable / Month	180
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