Contracted Products [ELIQUIS 5MG TAB (PFI/STO) APIXABAN]

Contract Number	40
Brand Name	ELIQUIS 5MG TAB (PFI/STO) APIXABAN
Package Size	60'S
Formulary Category	C
Unit Price	3.66
Strength	5MG
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