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

Contract Number	42
Brand Name	SODIUM BICARBONATE 8.4% INJ (FSB)
Package Size	10ML
Formulary Category	B
Unit Price	1.09
Strength	8.4%
Max. Reimbursable / Month	70
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description	Add to Contract as Cat B
Max Repeats	0