Contracted Products [PROCTO-GLYVENOL CR (GSK/COL) TRIBENOSIDE]

Contract Number	40
Brand Name	PROCTO-GLYVENOL CR (GSK/COL) TRIBENOSIDE
Package Size	30G
Formulary Category	A
Unit Price	7.50
Strength	40MG\|400MG
Max. Reimbursable / Month	1
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