Contracted Products [KOMBIGLYZE 1G|5MG TAB (AZN) METFORMIN|SAXAGLIPTIN]

Contract Number	42
Brand Name	KOMBIGLYZE 1G\|5MG TAB (AZN) METFORMIN\|SAXAGLIPTIN
Package Size	28'S
Formulary Category	C
Unit Price	2.03
Strength	1G\|5MG
Max. Reimbursable / Month	0
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description
Max Repeats	0