Contracted Products [ACYCLOVIR 5% CR (KWA/ATB)]

Contract Number	40
Brand Name	ACYCLOVIR 5% CR (KWA/ATB)
Package Size	4G
Formulary Category	A
Unit Price	2.31
Strength	5%
Max. Reimbursable / Month	2
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