Contracted Products [ZYLOPRIM 100MG TAB (ASG) ALLOPURINOL (C)]

Contract Number	41
Brand Name	ZYLOPRIM 100MG TAB (ASG) ALLOPURINOL (C)
Package Size	50'S
Formulary Category	C
Unit Price	0.5486
Strength	100MG
Max. Reimbursable / Month	180
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