Contracted Products [VIAL, PLASTIC, AMBER 40ML/10DR (DCN) ]

Contract Number	41
Brand Name	VIAL, PLASTIC, AMBER 40ML/10DR (DCN)
Package Size	200'S
Formulary Category	B
Unit Price	0.2311
Strength
Max. Reimbursable / Month	4
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0