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

Contract Number	42
Brand Code	0212BQ
Brand Name	CILASTATIN\|IMIPENEM 500MG\|500MG INJ (LDP)
Active Ingredient	CILASTATIN\|IMIPENEM
Trade Name	CILASTATIN\|IMIPENEM
Package Size	500MG VIAL
Formulary Category	BQ
Pkg Price	23.87
Unit Price	23.87
Strength	500MG\|500MG
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
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	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	08120708
Therapeutic Desc	CARBAPENEMS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	CARBAPENEMS
Amend Date