Contracted Products [THALIDOMIDE 100MG CAP (SLS/AHI) ]

Contract Number	40
Brand Name	THALIDOMIDE 100MG CAP (SLS/AHI)
Package Size	30'S
Formulary Category	C
Unit Price	3.13
Strength	100MG
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	Add to Contract as Cat C
Max Repeats	0