Contracted Products [DEX-LITOS PWDR (LAF) REHYDRATION SALTS (C)]

Contract Number	41
Brand Name	DEX-LITOS PWDR (LAF) REHYDRATION SALTS (C)
Package Size	25 SACH
Formulary Category	C
Unit Price	1.2504
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