Contracted Products [GRAVOL 50MG TAB (CDC) DIMENHYDRINAT (C)]

Contract Number	41
Brand Name	GRAVOL 50MG TAB (CDC) DIMENHYDRINAT (C)
Package Size	10'S
Formulary Category	C
Unit Price	0.3724
Strength	50MG
Max. Reimbursable / Month	180
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