Drugs available on Contract - [ZYRTEC 1MG/ML SYR (GSK) CETIRIZINE], []

Contract Number	42
Brand Code	0013T
Brand Name	ZYRTEC 1MG/ML SYR (GSK) CETIRIZINE
Active Ingredient	CETIRIZINE
Trade Name	ZYRTEC
Package Size	60ML
Formulary Category	C
Pkg Price	13.67
Unit Price	0.23
Strength	1MG/ML
Unit Description	ML
Max. Reimbursable Quantity / Month	60
Package Description	BOTT
Manufacturer Code	GSK
Manufacturer Name	GLAXOSMITHKLINE
Agent Code	COL
Agent Name	AVENTA BARBADOS
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode	5ML OD
SIGFactor	5
Dentist Allowed	N
Therapeutic Code	0408
Therapeutic Desc	SECOND GENERATION ANTIHISTAMINES
Status Description	Price Change
Default Route	ORAL
Max Repeats	0
Therapeutic Head	SECOND GENERATION ANTIHISTAMINES
Amend Date	2026-02-16