Contracted Products [LORIVAN 1MG TAB (REM/SBI) LORAZEPAM]

Contract Number	40
Brand Name	LORIVAN 1MG TAB (REM/SBI) LORAZEPAM
Package Size	100x10
Formulary Category	A
Unit Price	0.03
Strength	1MG
Max. Reimbursable / Month	240
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6