Contracted Products [RECORMON PREFILL 4000U INJ (ROC) EPOIE B (BQ)]

Contract Number	41
Brand Name	RECORMON PREFILL 4000U INJ (ROC) EPOIE B (BQ)
Package Size	6X4000U
Formulary Category	BQ
Unit Price	36.2353
Strength	4000U
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