Contracted Products [AMIROL 25MG TAB (REM) AMITRIPTYLINE]

Contract Number	41
Brand Name	AMIROL 25MG TAB (REM) AMITRIPTYLINE
Package Size	10X10
Formulary Category	A
Unit Price	0.0438
Strength	25MG
Max. Reimbursable / Month	240
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6