Contracted Products [FORSURE INSULIN SYRINGES 31GX1\2" (CSC/PHA)]

Contract Number	40
Brand Name	FORSURE INSULIN SYRINGES 31GX1\2" (CSC/PHA)
Package Size	100X1ML
Formulary Category	A
Unit Price	0.22
Strength
Max. Reimbursable / Month	10
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-07-27
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Delete from contract
Max Repeats	6