Contracted Products [LACEFT 1G IV/IM INJ (LDP/AHI) CEFTRIAXONE]

Contract Number	40
Brand Name	LACEFT 1G IV/IM INJ (LDP/AHI) CEFTRIAXONE
Package Size	10X1G
Formulary Category	B
Unit Price	1.72
Strength	1G IV/IM
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