Contracted Products [LEUCOVORIN 15MG TAB (SLS) ]

Contract Number	41
Brand Name	LEUCOVORIN 15MG TAB (SLS)
Package Size	20'S
Formulary Category	BQ
Unit Price	4.8943
Strength	15MG
Max. Reimbursable / Month	0
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0