Drugs available on Contract - [LORATADINE 10MG TAB (AUR/AHI) ], []

Contract Number	40
Brand Code	0012FA
Brand Name	LORATADINE 10MG TAB (AUR/AHI)
Active Ingredient	LORATADINE
Trade Name	LORATADINE
Package Size	100'S
Formulary Category	A
Pkg Price	$8.26
Unit Price	$0.08
Strength	10MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	14
Package Description	TAB
Manufacturer Code	AUR
Manufacturer Name	AUROCHEM LABORATORIES
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor
Dentist Allowed	No
Therapeutic Code	0408
Therapeutic Desc	SECOND GENERATION ANTIHISTAMINES
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	ANTIHISTAMINICS
Amend Date