Contracted Products [CICLOTAB 30MCG | 75MCG TAB (ABB/PHA) ETHINYLESTRADIOL

Contracted Products [CICLOTAB 30MCG | 75MCG TAB (ABB/PHA) ETHINYLESTRADIOL | GESTODENE]

Contract Number	40
Brand Name	CICLOTAB 30MCG \| 75MCG TAB (ABB/PHA) ETHINYLESTRADIOL \| GESTODENE
Package Size	21'S
Formulary Category	C
Unit Price	15.98
Strength	30MCG\|75MCG
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