Contracted Products [DIAZEPAM 2MG TAB (TEV/COL) ]

Contract Number	40
Brand Name	DIAZEPAM 2MG TAB (TEV/COL)
Package Size	28'S
Formulary Category	A
Unit Price	0.09
Strength	2MG
Max. Reimbursable / Month	120
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