Contracted Products [ACYCLOVIR 200MG TAB (CHC/ATB) ]

Contract Number	40
Brand Name	ACYCLOVIR 200MG TAB (CHC/ATB)
Package Size	100'S
Formulary Category	A
Unit Price	0.17
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