Contracted Products [PILOCARPINE 4% EYE DR (MTP) (C)]

Contract Number	41
Brand Name	PILOCARPINE 4% EYE DR (MTP) (C)
Package Size	10ML
Formulary Category	C
Unit Price	21.56
Strength	4%
Max. Reimbursable / Month	1
Drug Contract Start Date	2024-04-11
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6