Contracted Products [DALTEPARIN 2500IU INJ (GLN/AHI) ]

Contract Number	40
Brand Name	DALTEPARIN 2500IU INJ (GLN/AHI)
Package Size	2500IU
Formulary Category	B
Unit Price	5.08
Strength	2500IU
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-09-30
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0