Contracted Products [HERCEPTIN 600MG SC INJ (ROC/AHI) TRASTUZUMAB]

Contract Number	40
Brand Name	HERCEPTIN 600MG SC INJ (ROC/AHI) TRASTUZUMAB
Package Size	5ML VIAL
Formulary Category	C
Unit Price	3,982.34
Strength	600MG
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