Contracted Products [DALTEPARIN 5000IU INJ (GLN/AHI) ]

Contract Number	40
Brand Name	DALTEPARIN 5000IU INJ (GLN/AHI)
Package Size	5000IU
Formulary Category	B
Unit Price	7.88
Strength	5000IU
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-06-29
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0