Contracted Products [ACYCLOVIR DISP 800MG TAB (HEA/ATB) (C)]

Contract Number	40
Brand Name	ACYCLOVIR DISP 800MG TAB (HEA/ATB) (C)
Package Size	1X10
Formulary Category	C
Unit Price	0.7
Strength	800MG
Max. Reimbursable / Month
Drug Contract Start Date	2022-12-07
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description	Change Local Agent
Max Repeats	0