Contracted Products [HUMULIN-R CARTRIDGE INJ (LIL/STO) INSULIN RA]

Contract Number	40
Brand Name	HUMULIN-R CARTRIDGE INJ (LIL/STO) INSULIN RA
Package Size	5X3ML
Formulary Category	C
Unit Price	8.66
Strength	100U/ML
Max. Reimbursable / Month
Drug Contract Start Date	2022-07-11
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Add to Contract as Cat C
Max Repeats