Contracted Products [PROCTO-GLYVENOL 40MG|400MG SUPPOS (GSK) LIDOCAINE|TRIBENOSID]

Contract Number	41
Brand Name	PROCTO-GLYVENOL 40MG\|400MG SUPPOS (GSK) LIDOCAINE\|TRIBENOSID
Package Size	5'S
Formulary Category	A
Unit Price	0.9949
Strength	40MG\|400MG
Max. Reimbursable / Month	5
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