Contracted Products [ARICEPT 5MG TAB (PFI/STO) DONEPEZIL]

Contract Number	40
Brand Name	ARICEPT 5MG TAB (PFI/STO) DONEPEZIL
Package Size	28'S
Formulary Category	C
Unit Price	4.71
Strength	5MG
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