Drugs available on Contract - [ETHAMBUTOL 400MG TAB (MCP) ], []

Contract Number	41
Brand Code	03628
Brand Name	ETHAMBUTOL 400MG TAB (MCP)
Active Ingredient	ETHAMBUTOL
Trade Name	ETHAMBUTOL
Package Size	10X10
Formulary Category	A
Pkg Price	18.62
Unit Price	0.1862
Strength	400MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	150
Package Description	BOX
Manufacturer Code	MCP
Manufacturer Name	MACLEODS PHARMACEUTICALS LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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
Dentist Allowed	N
Therapeutic Code	0816
Therapeutic Desc	ANTIMYCOBACTERIALS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	ANTIMYCOBACTERIALS
Amend Date