Contracted Products [OSMITROL 10% INJ (BAX/STO) MANNITOL]

Contract Number	40
Brand Name	OSMITROL 10% INJ (BAX/STO) MANNITOL
Package Size	500ML
Formulary Category	B
Unit Price	12.75
Strength	10%
Max. Reimbursable / Month	0
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 B
Max Repeats	0