Contracted Products [DEXTROSE (2B0063Q) 5% (BAX/STO)]

Contract Number	40
Brand Name	DEXTROSE (2B0063Q) 5% (BAX/STO)
Package Size	500ML
Formulary Category	B
Unit Price	2.56
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