Drugs available on Contract - [CEFAZOL 1G INJ (INC) (BQ)], []

Contract Number	41
Brand Code	0113BA
Brand Name	CEFAZOL 1G INJ (INC) (BQ)
Active Ingredient	CEFAZOLIN
Trade Name	CEFAZOL
Package Size	15ML VIAL
Formulary Category	BQ
Pkg Price	14.19
Unit Price	14.1897
Strength	1G
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	INC
Manufacturer Name	INCEPTA PHARMACEUTICALS LIMITED
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	N
Therapeutic Code	08120604
Therapeutic Desc	FIRST GEN CEPHALOSPORINS
Status Description
Default Route	IV/IM
Max Repeats	0
Therapeutic Head	FIRST GEN CEPHALOSPORINS
Amend Date