Contracted Products [DEXTROSE 5% INJ (CSC) (B)]

Contract Number	41
Brand Name	DEXTROSE 5% INJ (CSC) (B)
Package Size	250ML
Formulary Category	B
Unit Price	2.1203
Strength	5%
Max. Reimbursable / Month	100
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