Contracted Products [APO-ELETRIPTAN 40MG TAB (APO) (C)]

Contract Number	41
Brand Name	APO-ELETRIPTAN 40MG TAB (APO) (C)
Package Size	6'S
Formulary Category	C
Unit Price	3.6969
Strength	40MG
Max. Reimbursable / Month	0
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0