Contracted Products [XYNTHA 500IU INJ (PFI) FACTOR VIII (C)]

Contract Number	41
Brand Name	XYNTHA 500IU INJ (PFI) FACTOR VIII (C)
Package Size	500IU VIAL
Formulary Category	C
Unit Price	1065.882
Strength	500IU
Max. Reimbursable / Month	12
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