Drugs available on Contract - [CEFAZOLIN 1G IV/IM INJ (RTM/PHA) ], []

Contract Number	40
Brand Code	01133
Brand Name	CEFAZOLIN 1G IV/IM INJ (RTM/PHA)
Active Ingredient	CEFAZOLIN
Trade Name	CEFAZOLIN
Package Size	1G VIAL
Formulary Category	B
Pkg Price	3.89
Unit Price	3.89
Strength	1G IV/IM
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	RTM
Manufacturer Name	PANPHARMA GMBH
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
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	Yes
Therapeutic Code	08120604
Therapeutic Desc	FIRST GEN CEPHALOSPORINS
Status Description
Default Route	IV/IM
Max Repeats	6
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date