Contracted Products [APO-LEVOCARB 25MG

Contracted Products [APO-LEVOCARB 25MG | 250MG TAB (APO/COL) ]

Contract Number	40
Brand Name	APO-LEVOCARB 25MG \| 250MG TAB (APO/COL)
Package Size	100'S
Formulary Category	A
Unit Price	0.27
Strength	25MG\|250MG
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