Contracted Products [OSMITROL (2D5632Q) 20% INJ (BAX/STO) MANNITOL]

Contract Number	40
Brand Name	OSMITROL (2D5632Q) 20% INJ (BAX/STO) MANNITOL
Package Size	250ML
Formulary Category	BQ
Unit Price	13.86
Strength	20%
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
Max Repeats	0