Contracted Products [DICLORAN SR 75MG TAB (UNI/AHI) DICLOFENAC SOD]

Contract Number	40
Brand Name	DICLORAN SR 75MG TAB (UNI/AHI) DICLOFENAC SOD
Package Size	10X10
Formulary Category	A
Unit Price	0.07
Strength	75MG
Max. Reimbursable / Month	28
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6