Contracted Products [AQUAGEL (ECO/COL) LUBRICATING JELLY]

Contract Number	40
Brand Name	AQUAGEL (ECO/COL) LUBRICATING JELLY
Package Size	82G
Formulary Category	B
Unit Price	3.29
Strength
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0