Contracted Products [MYFORTIC 360MG CAP (NVS) MYCOPHENOLATE (C)]

Contract Number	41
Brand Name	MYFORTIC 360MG CAP (NVS) MYCOPHENOLATE (C)
Package Size	120'S
Formulary Category	C
Unit Price	5.346
Strength	360MG
Max. Reimbursable / Month	240
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6