Drugs available on Contract - [RIFAMPICIN 300MG CAP (MCP/AHI) ], []

Contract Number	40
Brand Code	0381Q
Brand Name	RIFAMPICIN 300MG CAP (MCP/AHI)
Active Ingredient	RIFAMPICIN
Trade Name	RIFAMPICIN
Package Size	10X10
Formulary Category	A
Pkg Price	68.96
Unit Price	0.69
Strength	300MG
Unit Description	CAPSULE
Max. Reimbursable Quantity / Month	60
Package Description	CAP
Manufacturer Code	MCP
Manufacturer Name	MACLEODS PHARMACEUTICALS LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor
Dentist Allowed	No
Therapeutic Code	081604
Therapeutic Desc	ANTITUBERCULOSIS AGENTS
Status Description
Default Route	Oral
Max Repeats	6
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date