Contracted Products [BICTEGRAVIR|EMTRICITABINE|TENOFOVIR ALAFENAMIDE 50MG|200MG|2]

Contract Number	42
Brand Name	BICTEGRAVIR\|EMTRICITABINE\|TENOFOVIR ALAFENAMIDE 50MG\|200MG\|2
Package Size	30'S
Formulary Category	BL
Unit Price	3.40
Strength	50MG\|200MG\|25MG
Max. Reimbursable / Month	60
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description
Max Repeats	0