Contracted Products [AAP-DIAZEPAM 5MG TAB (APO) ]

Contract Number	41
Brand Name	AAP-DIAZEPAM 5MG TAB (APO)
Package Size	100'S
Formulary Category	A
Unit Price	0.0454
Strength	5MG
Max. Reimbursable / Month	120
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