Contracted Products [AAP-HYDROXYZINE 25MG TAB (APO/COL) ]

Contract Number	40
Brand Name	AAP-HYDROXYZINE 25MG TAB (APO/COL)
Package Size	100'S
Formulary Category	A
Unit Price	0.17
Strength	25MG
Max. Reimbursable / Month	90
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