Contracted Products [POVIDONE IODINE SURGICAL 0.75% SCRUB (RIM) ]

Contract Number	41
Brand Name	POVIDONE IODINE SURGICAL 0.75% SCRUB (RIM)
Package Size	1 GAL
Formulary Category	B
Unit Price	0.0216
Strength	0.75%
Max. Reimbursable / Month	500
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