Contracted Products [DIAMIN 25MG TAB (RLS/AHI) IMIPRAMINE]

Contract Number	40
Brand Name	DIAMIN 25MG TAB (RLS/AHI) IMIPRAMINE
Package Size	200'S
Formulary Category	A
Unit Price	0.09
Strength	25MG
Max. Reimbursable / Month	240
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