Contracted Products [LIFEESTYLES HOT RIDER (ANS) CONDO]

Contract Number	41
Brand Name	LIFEESTYLES HOT RIDER (ANS) CONDO
Package Size	3'S
Formulary Category	C
Unit Price	0.4893
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