Contracted Products [POLYBAR ACB 100% (EZM) BARIUM SULPHATE]

Contract Number	41
Brand Name	POLYBAR ACB 100% (EZM) BARIUM SULPHATE
Package Size	24X397G
Formulary Category	BQ
Unit Price	57.3113
Strength	100%
Max. Reimbursable / Month	50
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0