Contracted Products [XOLAIR 150MG INJ (NVS/COL) OMALIZUMAB]

Contract Number	40
Brand Name	XOLAIR 150MG INJ (NVS/COL) OMALIZUMAB
Package Size	150MG VIAL
Formulary Category	C
Unit Price	1,304.93
Strength	150MG
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0