Contracted Products [LIFESTYLES STUDDED (ANS/SBI) CONDOM]

Contract Number	40
Brand Name	LIFESTYLES STUDDED (ANS/SBI) CONDOM
Package Size	3'S
Formulary Category	C
Unit Price	3.59
Strength
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-06-12
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0