Contracted Products [VIAL, PLASTIC, AMBER 140ML/40D (DCN]

Contract Number	41
Brand Name	VIAL, PLASTIC, AMBER 140ML/40D (DCN
Package Size	100'S
Formulary Category	B
Unit Price	0.6491
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