Contracted Products [DIANE 35 2MG|35MCG TAB (BSP) CYPROTERONE|ETHINYL ESTRADIOL]

Contract Number	42
Brand Name	DIANE 35 2MG\|35MCG TAB (BSP) CYPROTERONE\|ETHINYL ESTRADIOL
Package Size	21'S
Formulary Category	C
Unit Price	14.95
Strength	2MG\|35MCG
Max. Reimbursable / Month	0
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description
Max Repeats	0