Contracted Products [APO-SUCRALFATE 1G TAB (APO/COL)]

Contract Number	40
Brand Name	APO-SUCRALFATE 1G TAB (APO/COL)
Package Size	100'S
Formulary Category	A
Unit Price	0.46
Strength	1G
Max. Reimbursable / Month	120
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6