Contracted Products [ZOLOFT 100MG TAB (PFI) SERTRALINE (C)]

Contract Number	41
Brand Name	ZOLOFT 100MG TAB (PFI) SERTRALINE (C)
Package Size	14'S
Formulary Category	C
Unit Price	2.1067
Strength	100MG
Max. Reimbursable / Month	42
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