Contracted Products [BANEOCIN 250IU | 5MG OINT (BCH/COL) BACITRACIN

Contracted Products [BANEOCIN 250IU | 5MG OINT (BCH/COL) BACITRACIN | NEOMYCIN]

Contract Number	40
Brand Name	BANEOCIN 250IU \| 5MG OINT (BCH/COL) BACITRACIN \| NEOMYCIN
Package Size	20G
Formulary Category	A
Unit Price	5.25
Strength	250IU/G\|5MG/G
Max. Reimbursable / Month	2
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-05-24
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Delete from contract
Max Repeats	0