Contracted Products [RECORMON PREFILL 4000U INJ (ROC/AHI) EPOIETIN]

Contract Number	40
Brand Name	RECORMON PREFILL 4000U INJ (ROC/AHI) EPOIETIN
Package Size	6X4000U
Formulary Category	BQ
Unit Price	36.24
Strength	4000U
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