Contracted Products [HUMULIN CARTRIDGE 70% | 30% INJ (LIL/STO) INSULIN ISOPHANE

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

Contract Number	40
Brand Name	HUMULIN CARTRIDGE 70% \| 30% INJ (LIL/STO) INSULIN ISOPHANE \| INSULIN REGULAR
Package Size	5X3ML
Formulary Category	A
Unit Price	9.41
Strength	70%\|30%
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