Contracted Products [PRIMAFEN 30MCG | 150MCG TAB (ABB/PHA) ETHINYLESTRADIOL

Contracted Products [PRIMAFEN 30MCG | 150MCG TAB (ABB/PHA) ETHINYLESTRADIOL | LEVONORGESTRE]

Contract Number	40
Brand Name	PRIMAFEN 30MCG \| 150MCG TAB (ABB/PHA) ETHINYLESTRADIOL \| LEVONORGESTRE
Package Size	21'S
Formulary Category	C
Unit Price	4.57
Strength	30MCG\|150MCG
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