Contracted Products [LANTUS SOLOSTAR 100U/ML INJ (SFA/COL) GLARGIN]

Contract Number	40
Brand Name	LANTUS SOLOSTAR 100U/ML INJ (SFA/COL) GLARGIN
Package Size	3ML VIAL
Formulary Category	A
Unit Price	27.18
Strength	100U/ML
Max. Reimbursable / Month	5
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6