Contracted Products [GLYCINE 1.5% INJ (BRA/COL) ]

Contract Number	40
Brand Name	GLYCINE 1.5% INJ (BRA/COL)
Package Size	3 LITRES
Formulary Category	BQ
Unit Price	14.92
Strength	1.5%
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