Contracted Products [ULTRAVIST 370 INJ (BSP) IOPROMIDE (BQ)]

Contract Number	41
Brand Name	ULTRAVIST 370 INJ (BSP) IOPROMIDE (BQ)
Package Size	100ML
Formulary Category	BQ
Unit Price	112.593
Strength	370MG/ML
Max. Reimbursable / Month	7
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