Drugs available on Contract - [CHLORAMPHENICOL 0.5% EYE/EAR DR (CAM) ], []

Contract Number	41
Brand Code	01262
Brand Name	CHLORAMPHENICOL 0.5% EYE/EAR DR (CAM)
Active Ingredient	CHLORAMPHENICOL
Trade Name	CHLORAMPHENICOL MINIMS
Package Size	20X0.5ML
Formulary Category	A
Pkg Price	82.53
Unit Price	4.1264
Strength	0.5%
Unit Description	AMPP
Max. Reimbursable Quantity / Month	1
Package Description	BOTT
Manufacturer Code	CAM
Manufacturer Name	MORNINGSIDE PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
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	5204
Therapeutic Desc	EENT ANTI-INFECTIVES
Status Description
Default Route	OPHTHALMIC
Max Repeats	0
Therapeutic Head	EENT ANTI-INFECTIVES
Amend Date