Contracted Products [SOSTENON 250MG/ML INJ (ASG) TESTOSTERONE (BQ)]

Contract Number	41
Brand Name	SOSTENON 250MG/ML INJ (ASG) TESTOSTERONE (BQ)
Package Size	250MG PFS
Formulary Category	BQ
Unit Price	34.1693
Strength	250MG/ML
Max. Reimbursable / Month	4
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6