Contracted Products [PEG-GRAFEEL 6MG INJ (DRL) PEGFILGRA (BQ)]

Contract Number	41
Brand Name	PEG-GRAFEEL 6MG INJ (DRL) PEGFILGRA (BQ)
Package Size	1 DS SYRNG
Formulary Category	BQ
Unit Price	380.5654
Strength	6MG
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