Contracted Products [TOPAMAX 100MG TAB (JAC) TOPIRAMATE (C)]

Contract Number	41
Brand Name	TOPAMAX 100MG TAB (JAC) TOPIRAMATE (C)
Package Size	20'S
Formulary Category	C
Unit Price	2.9276
Strength	100MG
Max. Reimbursable / Month	120
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6