Contracted Products [NEXIUM 40MG INJ (AZN/COL) PANTOPRAZOLE]

Contract Number	40
Brand Name	NEXIUM 40MG INJ (AZN/COL) PANTOPRAZOLE
Package Size	5ML VIAL
Formulary Category	C
Unit Price	14.68
Strength	40MG
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-05-04
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Package Size Change
Max Repeats	0