Contracted Products [SODIUM BICARBONATE 8.4% INJ (BRA/COL) ]

Contract Number	40
Brand Name	SODIUM BICARBONATE 8.4% INJ (BRA/COL)
Package Size	100ML
Formulary Category	B
Unit Price	6.50
Strength	8.4%
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