Contracted Products [SPORASEC 33.3/166.6 TAB (JAC/STO) ITRACONAZOL]

Contract Number	40
Brand Name	SPORASEC 33.3/166.6 TAB (JAC/STO) ITRACONAZOL
Package Size	12'S
Formulary Category	C
Unit Price	3.11
Strength	33.3MG\|166.6MG
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