Contracted Products [CYCLOVAX 800MG TAB (REM/SBI) ACYCLOVIR]

Contract Number	40
Brand Name	CYCLOVAX 800MG TAB (REM/SBI) ACYCLOVIR
Package Size	1x10
Formulary Category	C
Unit Price	0.41
Strength	800MG
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