Contracted Products [APO-CYCLOBENZAPRINE 10MG TAB (APO/COL) ]

Contract Number	40
Brand Name	APO-CYCLOBENZAPRINE 10MG TAB (APO/COL)
Package Size	500'S
Formulary Category	A
Unit Price	0.54
Strength	10MG
Max. Reimbursable / Month	42
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Package Size Change
Max Repeats	6