Contracted Products [IMMUNOREL 5% INJ (RLS/AHI) IMMUNOGLOBULIN]

Contract Number	40
Brand Name	IMMUNOREL 5% INJ (RLS/AHI) IMMUNOGLOBULIN
Package Size	100ML
Formulary Category	BQ
Unit Price	657.29
Strength	5%
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