Contracted Products [DESIRE GEL (HEA) GLYCERINE]

Contract Number	42
Brand Name	DESIRE GEL (HEA) GLYCERINE
Package Size	82G
Formulary Category	B
Unit Price	3.23
Strength
Max. Reimbursable / Month	0
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description	Add to Contract as Cat B
Max Repeats	0