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

Contract Number	41
Brand Name	ULTANE (4456-02) (ABB) SEVOFLURANE (BQ)
Package Size	250ML
Formulary Category	BQ
Unit Price	264.7376
Strength	100%
Max. Reimbursable / Month	30
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