Contracted Products [CARLIDONE 25MG TAB (CAR/COL) CHLORTHALIDONE]

Contract Number	40
Brand Name	CARLIDONE 25MG TAB (CAR/COL) CHLORTHALIDONE
Package Size	125's
Formulary Category	A
Unit Price	0.12
Strength	25MG
Max. Reimbursable / Month	60
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Package Size Change
Max Repeats	6