Contracted Products [CHLORTHALIDONE 12.5MG TAB (MBL/AHI) ]

Contract Number	40
Brand Name	CHLORTHALIDONE 12.5MG TAB (MBL/AHI)
Package Size	30'S
Formulary Category	A
Unit Price	0.18
Strength	12.5MG
Max. Reimbursable / Month	30
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6