Contracted Products [GENVOYA 150MG | 150MG | 200MG | 10MG TAB (GIL/COL) COBICSTAT | ELVITEGRAVIR | EMTRICITABINE

Contracted Products [GENVOYA 150MG | 150MG | 200MG | 10MG TAB (GIL/COL) COBICSTAT | ELVITEGRAVIR | EMTRICITABINE | TENOFOVIR]

Contract Number	40
Brand Name	GENVOYA 150MG \| 150MG \| 200MG \| 10MG TAB (GIL/COL) COBICSTAT \| ELVITEGRAVIR \| EMTRICITABINE \| TENOFOVIR
Package Size	30'S
Formulary Category	BL
Unit Price	10.73
Strength	150MG\|150MG\|200MG\|10MG
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