Contracted Products [VISAG 0.1% EYE DR (LPO/COL) AZITHROMYCIN]

Contract Number	40
Brand Name	VISAG 0.1% EYE DR (LPO/COL) AZITHROMYCIN
Package Size	2.5ML
Formulary Category	BQ
Unit Price	8.43
Strength	0.1%
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6