Contracted Products [DICLO-SR 75MG SR TAB (RYV) DICLOFENAC SODIUM]

Contract Number	41
Brand Name	DICLO-SR 75MG SR TAB (RYV) DICLOFENAC SODIUM
Package Size	100'S
Formulary Category	A
Unit Price	0.081
Strength	75MG
Max. Reimbursable / Month	28
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6