Contracted Products [CLOTRI-DENK 100MG VAG OV (EDK/COL) CLOTRIMAZO]

Contract Number	40
Brand Name	CLOTRI-DENK 100MG VAG OV (EDK/COL) CLOTRIMAZO
Package Size	6'S
Formulary Category	A
Unit Price	4.35
Strength	100MG
Max. Reimbursable / Month	1
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0