Contracted Products [XANAX 0.5MG TAB (PFI) ALPRAZOLAM (C)]

Contract Number	41
Brand Name	XANAX 0.5MG TAB (PFI) ALPRAZOLAM (C)
Package Size	100'S
Formulary Category	C
Unit Price	0.4836
Strength	0.5MG
Max. Reimbursable / Month	30
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6