Contracted Products [DICHLOR 12.5MG TAB (IPC) CHLORTHALI]

Contract Number	41
Brand Name	DICHLOR 12.5MG TAB (IPC) CHLORTHALI
Package Size	3X10
Formulary Category	A
Unit Price	0.145
Strength	12.5MG
Max. Reimbursable / Month	30
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6