Drugs available on Contract - [BACTERAM 500MG TAB (MBL) CEFADROXIL], []

Contract Number	41
Brand Code	0111FB
Brand Name	BACTERAM 500MG TAB (MBL) CEFADROXIL
Active Ingredient	CEFADROXIL
Trade Name	BACTERAM
Package Size	12'S
Formulary Category	A
Pkg Price	5.11
Unit Price	0.4259
Strength	500MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	28
Package Description	BOX
Manufacturer Code	MBL
Manufacturer Name	MEDICAMEN BIOTECH LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	Y
Therapeutic Code	08120604
Therapeutic Desc	FIRST GEN CEPHALOSPORINS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	FIRST GEN CEPHALOSPORINS
Amend Date