Contracted Products [DERIVA 0.1% CR (GLP/ALI) ADAPALENE]

Contract Number	40
Brand Name	DERIVA 0.1% CR (GLP/ALI) ADAPALENE
Package Size	15G
Formulary Category	C
Unit Price	16.31
Strength	0.1%
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-03-22
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Delete from contract
Max Repeats	0