Contracted Products [DEXTROSE 5% (CSC/PHA)]

Contract Number	40
Brand Name	DEXTROSE 5% (CSC/PHA)
Package Size	500ML
Formulary Category	B
Unit Price	2.81
Strength	5%
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-06-16
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Price Change
Max Repeats	0