Contracted Products [PHENOBARBITAL 15MG TAB (TEV/COL) PHENOBARBITO]

Contract Number	40
Brand Name	PHENOBARBITAL 15MG TAB (TEV/COL) PHENOBARBITO
Package Size	28'S
Formulary Category	A
Unit Price	1.52
Strength	15MG
Max. Reimbursable / Month	180
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