Drugs available on Contract - [ERTAPENEM 1G INJ (BCH)], []

Contract Number	42
Brand Code	0212BY
Brand Name	ERTAPENEM 1G INJ (BCH)
Active Ingredient	ERTAPENEM
Trade Name	ERTAPENEM
Package Size	1G VIAL
Formulary Category	BQ
Pkg Price	123.36
Unit Price	123.36
Strength	1G
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	BCH
Manufacturer Name	SANDOZ
Agent Code	COL
Agent Name	AVENTA BARBADOS
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