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

Contract Number	40
Brand Name	ZOLOFT 100MG TAB (PFI/SBI) SERTRALINE
Package Size	14'S
Formulary Category	C
Unit Price	2.09
Strength	100MG
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