Contracted Products [GRAVOL KIDS 3MG/ML SYR (CDC) DIMENHYDRINATE (C)]

Contract Number	41
Brand Name	GRAVOL KIDS 3MG/ML SYR (CDC) DIMENHYDRINATE (C)
Package Size	75ML
Formulary Category	C
Unit Price	0.0859
Strength	3MG/ML
Max. Reimbursable / Month	125
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