Contracted Products [TRIVERAM 10MG|20MG|10MG TAB (SER) (C)]

Contract Number	42
Brand Name	TRIVERAM 10MG\|20MG\|10MG TAB (SER) (C)
Package Size	30'S
Formulary Category	C
Unit Price	2.33
Strength	10MG\|20MG\|10MG
Max. Reimbursable / Month
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description	Add to Contract as Cat C
Max Repeats