Contracted Products [BENZYLBENZOATE 25% EMULSION (GPC/ATB)]

Contract Number	40
Brand Name	BENZYLBENZOATE 25% EMULSION (GPC/ATB)
Package Size	120ML
Formulary Category	A
Unit Price	0.03
Strength	25%
Max. Reimbursable / Month	100
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6