Contracted Products [DIPYRIDAMOLE 25MG TAB (LDP/AHI) ]

Contract Number	40
Brand Name	DIPYRIDAMOLE 25MG TAB (LDP/AHI)
Package Size	100'S
Formulary Category	BQ
Unit Price	0.50
Strength	25MG
Max. Reimbursable / Month	120
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Add to Contract as Cat B
Max Repeats	6