Drugs available on Contract - [AMPICILLIN 500MG INJ (KWA/ATB)], []

Contract Number	40
Brand Code	0164AM
Brand Name	AMPICILLIN 500MG INJ (KWA/ATB)
Active Ingredient	AMPICILLIN
Trade Name	AMPICILLIN
Package Size	500MG VIAL
Formulary Category	BQ
Pkg Price	0.90
Unit Price	0.90
Strength	500MG
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-09-30
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	Yes
Therapeutic Code	081216
Therapeutic Desc	PENICILLINS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date	2022-03-30