Contracted Products [SUPIROCIN 2% OINT (GLP/ALI) MUPIROCIN]

Contract Number	40
Brand Name	SUPIROCIN 2% OINT (GLP/ALI) MUPIROCIN
Package Size	15G
Formulary Category	BQ
Unit Price	5.44
Strength	2%
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-03-22
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Delete from contract
Max Repeats	6