Contracted Products [DEXTROSE (2B0062Q) 5% INJ (BAX/STO) ]

Contract Number	40
Brand Name	DEXTROSE (2B0062Q) 5% INJ (BAX/STO)
Package Size	250ML
Formulary Category	B
Unit Price	3.32
Strength	5%
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0