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

Contract Number	41
Brand Name	OSMITROL (2D5632Q) 20% INJ (BAX) MANNITOL
Package Size	250ML
Formulary Category	BQ
Unit Price	19.9797
Strength	20%
Max. Reimbursable / Month	0
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0