Contracted Products [HUMULIN 70%|30% INJ (LIL) INSULIN ISOPHANE|INSULIN REGULAR]

Contract Number	41
Brand Name	HUMULIN 70%\|30% INJ (LIL) INSULIN ISOPHANE\|INSULIN REGULAR
Package Size	10ML VIAL
Formulary Category	A
Unit Price	21.23
Strength	70%\|30%
Max. Reimbursable / Month	5
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-10-04
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6