Contracted Products [LEXAPRO 10MG TAB (LUN/COL) ESCITALOPRAM]

Contract Number	40
Brand Name	LEXAPRO 10MG TAB (LUN/COL) ESCITALOPRAM
Package Size	28'S
Formulary Category	C
Unit Price	3.24
Strength	10MG
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