Contracted Products [SODIUM BICARBONATE 8.4% INJ (FSB) ]

Contract Number	41
Brand Name	SODIUM BICARBONATE 8.4% INJ (FSB)
Package Size	10ML
Formulary Category	B
Unit Price	1.1961
Strength	8.4%
Max. Reimbursable / Month	70
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0