Contracted Products [PROLOPA 50MG|200MG TAB (ROC) BENSERAZIDE|LEVODOPA]

Contract Number	41
Brand Name	PROLOPA 50MG\|200MG TAB (ROC) BENSERAZIDE\|LEVODOPA
Package Size	30'S
Formulary Category	A
Unit Price	1.005
Strength	50MG\|200MG
Max. Reimbursable / Month	240
Drug Contract Start Date	2024-09-27
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6