Contracted Products [AAP-PERPHENAZINE 4MG TAB (APO/COL) PERPHENAZI]

Contract Number	40
Brand Name	AAP-PERPHENAZINE 4MG TAB (APO/COL) PERPHENAZI
Package Size	100'S
Formulary Category	A
Unit Price	0.41
Strength	4MG
Max. Reimbursable / Month	180
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