Drugs available on Contract - [CHLORAMBUCIL 2MG TAB (KWA/ATB) ], []

Contract Number	40
Brand Code	05616
Brand Name	CHLORAMBUCIL 2MG TAB (KWA/ATB)
Active Ingredient	CHLORAMBUCIL
Trade Name	CHLORAMBUCIL
Package Size	3X10
Formulary Category	A
Pkg Price	176.69
Unit Price	5.89
Strength	2MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	240
Package Description	TAB
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit	B
Benefit Cat Code	Anti-Neoplastic
Drug Contract Start Date	2022-05-27
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	Package Size Change
Default Route	Oral
Max Repeats	6
Therapeutic Head	ANTINEOPLASTICS
Amend Date	2022-05-27