Contracted Products [ZOVIRAX 200MG TAB (GSK/COL) ACYCLOVIR]

Contract Number	40
Brand Name	ZOVIRAX 200MG TAB (GSK/COL) ACYCLOVIR
Package Size	25'S
Formulary Category	C
Unit Price	2.52
Strength	200MG
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	0