Contracted Products [HUMALOG KWIKPEN 75%|25% INJ (LIL) INSULIN ISOPHANE|INSULIN R (C)]

Contract Number	41
Brand Name	HUMALOG KWIKPEN 75%\|25% INJ (LIL) INSULIN ISOPHANE\|INSULIN R (C)
Package Size	5X3ML
Formulary Category	C
Unit Price	27.8574
Strength	75%\|25%
Max. Reimbursable / Month	0
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6