Contracted Products [IN FUVITE PAED INJ (BAX/STO) MULTIVITAMINS]

Contract Number	40
Brand Name	IN FUVITE PAED INJ (BAX/STO) MULTIVITAMINS
Package Size	5 PAIRS
Formulary Category	B
Unit Price	36.04
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	Price Change
Max Repeats	0