Contracted Products [PREVNAR 13 16MCG INJ (PFI/STO) PNEUMOCOCCAL]

Contract Number	40
Brand Name	PREVNAR 13 16MCG INJ (PFI/STO) PNEUMOCOCCAL
Package Size	1 DOSE
Formulary Category	B
Unit Price	223.12
Strength	16MCG
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-06-22
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Price Change
Max Repeats	0