Contracted Products [DESIRE JELLY (HEA) LUBRICATING JELLY (B)]

Contract Number	41
Brand Name	DESIRE JELLY (HEA) LUBRICATING JELLY (B)
Package Size	82G
Formulary Category	B
Unit Price	3.3164
Strength
Max. Reimbursable / Month	0
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0