Contracted Products [SURE COMFORT 31GX5/16'' (ALM) INSULIN ]

Contract Number	41
Brand Name	SURE COMFORT 31GX5/16'' (ALM) INSULIN
Package Size	100'S
Formulary Category	A
Unit Price	0.2365
Strength
Max. Reimbursable / Month	10
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