Contracted Products [ACYCLOVIR 50MG/ML INJ (KWA) (BQ)]

Contract Number	41
Brand Name	ACYCLOVIR 50MG/ML INJ (KWA) (BQ)
Package Size	10ML VIAL
Formulary Category	BQ
Unit Price	4.893
Strength	50MG/ML
Max. Reimbursable / Month	15
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	4