Contracted Products [BRILINTA 90MG TAB (AZN/COL) TICAGRELOR]

Contract Number	40
Brand Name	BRILINTA 90MG TAB (AZN/COL) TICAGRELOR
Package Size	60'S
Formulary Category	C
Unit Price	2.04
Strength	90MG
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