Drugs available on Contract - [ACTINOMYCIN D 500MCG INJ (KWA/ATB) ], []

Contract Number	40
Brand Code	05216
Brand Name	ACTINOMYCIN D 500MCG INJ (KWA/ATB)
Active Ingredient	ACTINOMYCIN D
Trade Name	ACTINOMYCIN D
Package Size	500MCG VIA
Formulary Category	BQ
Pkg Price	36.70
Unit Price	36.70
Strength	500MCG
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
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	0
Dentist Allowed	No
Therapeutic Code	1000
Therapeutic Desc	ANTINEOPLASTICS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ANTINEOPLASTICS
Amend Date