Contracted Products [DIANEAL (5B9896) 4.25% SOLN (BAX) DIALYSIS SOLN]

Contract Number	42
Brand Name	DIANEAL (5B9896) 4.25% SOLN (BAX) DIALYSIS SOLN
Package Size	6X2L
Formulary Category	BQ
Unit Price	34.74
Strength	4.25%
Max. Reimbursable / Month	0
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description	Delete from contract
Max Repeats	0