Contracted Products [DAKTARIN 2% GEL (JAC/STO) MICONAZOLE]

Contract Number	40
Brand Name	DAKTARIN 2% GEL (JAC/STO) MICONAZOLE
Package Size	78G
Formulary Category	BQ
Unit Price	28.27
Strength	2%
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-05-24
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Delete from contract
Max Repeats	0