Contracted Products [OMALIREL 150MG INJ (RLS/AHI) OMALIZUMAB]

Contract Number	40
Brand Name	OMALIREL 150MG INJ (RLS/AHI) OMALIZUMAB
Package Size	150MG VIAL
Formulary Category	C
Unit Price	844.86
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