Drugs available on Contract - [FLUCONAZOLE 200MG INJ (BRA/COL) ], []

Contract Number	40
Brand Code	0081T
Brand Name	FLUCONAZOLE 200MG INJ (BRA/COL)
Active Ingredient	FLUCONAZOLE
Trade Name	FLUCONAZOLE
Package Size	100ML
Formulary Category	BQ
Pkg Price	4.65
Unit Price	4.65
Strength	200MG
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	BRA
Manufacturer Name	B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE
Agent Code	COL
Agent Name	COLLINS LTD
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	0
Dentist Allowed	No
Therapeutic Code	081408
Therapeutic Desc	AZOLES
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date