Contracted Products [MIRCERA PREFILL 200MCG INJ (ROC/AHI) EPOIETIN]

Contract Number	40
Brand Name	MIRCERA PREFILL 200MCG INJ (ROC/AHI) EPOIETIN
Package Size	200MCG SYN
Formulary Category	BQ
Unit Price	685.02
Strength	200MCG
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