Contracted Products [GLUCOPHAGE 850MG TAB (MEK/COL) METFORMIN]

Contract Number	40
Brand Name	GLUCOPHAGE 850MG TAB (MEK/COL) METFORMIN
Package Size	100'S
Formulary Category	C
Unit Price	0.16
Strength	850MG
Max. Reimbursable / Month	60
Drug Contract Start Date	2022-08-25
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Add to Contract as Cat C
Max Repeats	6