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

Contract Number	41
Brand Name	LORIVAN 1MG TAB (REM) LORAZEPAM
Package Size	10X10
Formulary Category	A
Unit Price	0.0313
Strength	1MG
Max. Reimbursable / Month	240
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