Contracted Products [XIGDUO 5MG|1G TAB (AZN) DAPAGLIFLOZIN|METFORMIN]

Contract Number	41
Brand Name	XIGDUO 5MG\|1G TAB (AZN) DAPAGLIFLOZIN\|METFORMIN
Package Size	30'S
Formulary Category	B
Unit Price	1.312
Strength	5MG\|1G
Max. Reimbursable / Month	30
Drug Contract Start Date	2024-08-16
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6