Contracted Products [IMODIUM 2MG TAB (JAC/STO) LOPERAMIDE]

Contract Number	40
Brand Name	IMODIUM 2MG TAB (JAC/STO) LOPERAMIDE
Package Size	60'S
Formulary Category	C
Unit Price	1.11
Strength	2MG
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-05-24
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Delete from contract
Max Repeats	0