Contracted Products [SYNJARDY 12.5/850MG]

Contract Number	40
Brand Name	SYNJARDY 12.5/850MG
Package Size	60'S
Formulary Category	A
Unit Price	$1.120
Strength	12.5MG /850MG
Max. Reimbursable / Month	60
Drug Contract Start Date	2022-10-31
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6