Contracted Products [MIOSTAT OCULAR 0.01% INJ (ALC/AHI) CARBACHOL]

Contract Number	40
Brand Name	MIOSTAT OCULAR 0.01% INJ (ALC/AHI) CARBACHOL
Package Size	1.5ML VIAL
Formulary Category	BQ
Unit Price	59.94
Strength	0.01%
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