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

Contract Number	41
Brand Name	DIANEAL (5B9896) 4.25% INJ (BAX) DIALYSIS SOLN
Package Size	6X2L
Formulary Category	B
Unit Price	22.2
Strength	4.25%
Max. Reimbursable / Month	100
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