Contracted Products [AMANTADINE 100MG CAP (CAM/AHI) ]

Contract Number	40
Brand Name	AMANTADINE 100MG CAP (CAM/AHI)
Package Size	56'S
Formulary Category	C
Unit Price	1.17
Strength	100MG
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