Contracted Products [MYFORTIC 180MG CAP (NVS) MYCOPHENOLIC AC (C)]

Contract Number	41
Brand Name	MYFORTIC 180MG CAP (NVS) MYCOPHENOLIC AC (C)
Package Size	120'S
Formulary Category	C
Unit Price	2.673
Strength	180MG
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