Contracted Products [PNEUMOVAX 23 INJ (MSD/STO) PNEUMOCOCCAL]

Contract Number	40
Brand Name	PNEUMOVAX 23 INJ (MSD/STO) PNEUMOCOCCAL
Package Size	0.5ML VIAL
Formulary Category	C
Unit Price	23.98
Strength	25MCG
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-07-26
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Package Size Change
Max Repeats