Contracted Products [APO-LEVOCARB 10MG

Contracted Products [APO-LEVOCARB 10MG | 100MG TAB (APO/COL) ]

Contract Number	40
Brand Name	APO-LEVOCARB 10MG \| 100MG TAB (APO/COL)
Package Size	100'S
Formulary Category	A
Unit Price	0.17
Strength	10MG\|100MG
Max. Reimbursable / Month	240
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Add to Contract as Cat A
Max Repeats	6