Contracted Products [REFRESH OPTIVE GEL 1% | 0.9% EYE DR (ALL/COL) CARBOXYMETHYLCELLULOSE

Contracted Products [REFRESH OPTIVE GEL 1% | 0.9% EYE DR (ALL/COL) CARBOXYMETHYLCELLULOSE | GLYCERINE]

Contract Number	40
Brand Name	REFRESH OPTIVE GEL 1% \| 0.9% EYE DR (ALL/COL) CARBOXYMETHYLCELLULOSE \| GLYCERINE
Package Size	10ML
Formulary Category	C
Unit Price	12.91
Strength	1%\|0.9%
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