Contracted Products [AAP-PERPHENAZINE 4MG TAB (APO) PERP]

Contract Number	41
Brand Name	AAP-PERPHENAZINE 4MG TAB (APO) PERP
Package Size	100'S
Formulary Category	A
Unit Price	0.4159
Strength	4MG
Max. Reimbursable / Month	180
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