Contracted Products [ISENTRESS 400MG TAB (MSD/STO) RALTEGRAVIR]

Contract Number	40
Brand Name	ISENTRESS 400MG TAB (MSD/STO) RALTEGRAVIR
Package Size	60'S
Formulary Category	BL
Unit Price	18.56
Strength	400MG
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