Contracted Products [PURILON | GEL (CLP/IMS) ALGINATE

Contracted Products [PURILON | GEL (CLP/IMS) ALGINATE | CARBOXYMETHYLCELLULOSE]

Contract Number	40
Brand Name	PURILON \| GEL (CLP/IMS) ALGINATE \| CARBOXYMETHYLCELLULOSE
Package Size	10X25G
Formulary Category	B
Unit Price	13.35
Strength	\|
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