Contracted Products [LIDOCAINE 1% INJ (CIR/AHI) ]

Contract Number	40
Brand Name	LIDOCAINE 1% INJ (CIR/AHI)
Package Size	50ML VIAL
Formulary Category	B
Unit Price	4.70
Strength	1%
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	Add to Contract as Cat B
Max Repeats	0