Contracted Products [HEMOREL A 500IU INJ (RLS/AHI) FACTOR VIII]

Contract Number	40
Brand Name	HEMOREL A 500IU INJ (RLS/AHI) FACTOR VIII
Package Size	500IU VIAL
Formulary Category	BQ
Unit Price	330.28
Strength	500IU
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