Contracted Products [DEPO-PROVERA 150MG/ML INJ (PFI/STO) MEDROXYPR]

Contract Number	40
Brand Name	DEPO-PROVERA 150MG/ML INJ (PFI/STO) MEDROXYPR
Package Size	1ML VIAL
Formulary Category	C
Unit Price	17.51
Strength	150MG/ML
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0