Contracted Products [APO-ACYCLOVIR 200MG TAB (APO/COL)]

Contract Number	40
Brand Name	APO-ACYCLOVIR 200MG TAB (APO/COL)
Package Size	100'S
Formulary Category	A
Unit Price	0.14
Strength	200MG
Max. Reimbursable / Month	50
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