Contracted Products [ULTRAVIST 370 INJ (BSP/AHI) IOPROMIDE]

Contract Number	40
Brand Name	ULTRAVIST 370 INJ (BSP/AHI) IOPROMIDE
Package Size	100ML
Formulary Category	BQ
Unit Price	103.05
Strength	370MG/ML
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