Contracted Products [ULTANE (4456-02) (ABB/PHA) SEVOFLURANE]

Contract Number	40
Brand Name	ULTANE (4456-02) (ABB/PHA) SEVOFLURANE
Package Size	250ML
Formulary Category	BQ
Unit Price	265.04
Strength	100%
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