Contracted Products [BIKTARVY 50MG | 200MG | 25MG TAB (GIL/COL) BICTEGRAVIR | EMTRICITABINE

Contracted Products [BIKTARVY 50MG | 200MG | 25MG TAB (GIL/COL) BICTEGRAVIR | EMTRICITABINE | TENOFOVIR]

Contract Number	40
Brand Name	BIKTARVY 50MG \| 200MG \| 25MG TAB (GIL/COL) BICTEGRAVIR \| EMTRICITABINE \| TENOFOVIR
Package Size	30'S
Formulary Category	BL
Unit Price	10.73
Strength	50MG\|200MG\|25MG
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