Drugs available on Contract - [LORATADINE 1MG/ML SYRUP (HEA/RXP)], []

Contract Number	40
Brand Code	0013P
Brand Name	LORATADINE 1MG/ML SYRUP (HEA/RXP)
Active Ingredient	LORATADINE
Trade Name	LORATADINE
Package Size	100ML
Formulary Category	A
Pkg Price	3.13
Unit Price	0.03
Strength	1MG/ML
Unit Description	SYRUP
Max. Reimbursable Quantity / Month	120
Package Description	ML
Manufacturer Code	HEA
Manufacturer Name	HEALTH 2000 INC
Agent Code	RXP
Agent Name	RX PRO 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	5ML OD
SIGFactor	5
Dentist Allowed	No
Therapeutic Code	0408
Therapeutic Desc	SECOND GENERATION ANTIHISTAMINES
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	ANTIHISTAMINICS
Amend Date