Contracted Products [ARCALION 200MG TAB (SER/STO) SULBUTIAMINE]

Contract Number	40
Brand Name	ARCALION 200MG TAB (SER/STO) SULBUTIAMINE
Package Size	20'S
Formulary Category	C
Unit Price	1.19
Strength	200MG
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