Drugs available on Contract - [IMIPENEM/CILASTATIN |500MG INJ (LDP) CILASTATIN|IMIPENEM], []

Contract Number	41
Brand Code	0212BQ
Brand Name	IMIPENEM/CILASTATIN \|500MG INJ (LDP) CILASTATIN\|IMIPENEM
Active Ingredient	CILASTATIN\|IMIPENEM
Trade Name	IMIPENEM/CILASTATIN
Package Size	1 DOSE
Formulary Category	BQ
Pkg Price	27.56
Unit Price	27.56
Strength	500MG\|500MG
Unit Description	VIAL
Max. Reimbursable Quantity / Month
Package Description	VIAL
Manufacturer Code	LDP
Manufacturer Name	LABDHI PHARMA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-03
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	08120708
Therapeutic Desc	CARBAPENEMS
Status Description
Default Route	INJECTION
Max Repeats
Therapeutic Head	CARBAPENEMS
Amend Date	2024-04-03