Contracted Products [IMIGRAN 100MG TAB (GSK/COL) SUMATRIPTAN]

Contract Number	40
Brand Name	IMIGRAN 100MG TAB (GSK/COL) SUMATRIPTAN
Package Size	2'S
Formulary Category	C
Unit Price	24.74
Strength	100MG
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-05-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Delete from contract
Max Repeats	0