Contracted Products [SURVANTA 25MG/ML INJ (ABB/PHA) BERACTANT]

Contract Number	40
Brand Name	SURVANTA 25MG/ML INJ (ABB/PHA) BERACTANT
Package Size	8ML VIAL
Formulary Category	BQ
Unit Price	1,043.59
Strength	25MG/ML
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