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

Contract Number	41
Brand Name	DEXTROSE (2B0062Q) 5% INJ (BAX) (B)
Package Size	250ML
Formulary Category	B
Unit Price	5.9259
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