Contracted Products [NORCOLUT 5MG TAB (CHW) NORETHISTERONE (C)]

Contract Number	41
Brand Name	NORCOLUT 5MG TAB (CHW) NORETHISTERONE (C)
Package Size	2X10
Formulary Category	C
Unit Price	0.1726
Strength	5MG
Max. Reimbursable / Month	90
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