Contracted Products [PRISTIQ 50MG TAB (PFI) DESVENLAFAXINE (C)]

Contract Number	41
Brand Name	PRISTIQ 50MG TAB (PFI) DESVENLAFAXINE (C)
Package Size	28'S
Formulary Category	C
Unit Price	3.4445
Strength	50MG
Max. Reimbursable / Month	0
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0