Contracted Products [ALPROSTADIL 500MCG/ML INJ (SLS/AHI) ]

Contract Number	40
Brand Name	ALPROSTADIL 500MCG/ML INJ (SLS/AHI)
Package Size	1ML AMP
Formulary Category	BQ
Unit Price	399.59
Strength	500MCG/ML
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0