Contracted Products [MAXALT 10MG TAB (MSD) RIZATRIPTAN (C)]

Contract Number	41
Brand Name	MAXALT 10MG TAB (MSD) RIZATRIPTAN (C)
Package Size	6'S
Formulary Category	C
Unit Price	8.3996
Strength	10MG
Max. Reimbursable / Month	14
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6