Contracted Products [DIAZEPAM 5MG/ML IV/IM INJ (RTM/PHA) ]

Contract Number	40
Brand Name	DIAZEPAM 5MG/ML IV/IM INJ (RTM/PHA)
Package Size	10X2ML
Formulary Category	B
Unit Price	2.20
Strength	5MG/ML IV/IM
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-06-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Price Change
Max Repeats	0