Contracted Products [ADALIREL 40MG INJ (RLS/AHI) ADALIMUMAB]

Contract Number	40
Brand Name	ADALIREL 40MG INJ (RLS/AHI) ADALIMUMAB
Package Size	0.8ML SYRN
Formulary Category	C
Unit Price	875.30
Strength	40MG
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