Drugs available on Contract - [BIOCRISTIN INJ (ZYD)], []

Contract Number	42
Brand Code	0681S
Brand Name	BIOCRISTIN INJ (ZYD)
Active Ingredient	VINCRISTINE
Trade Name	BIOCRISTIN
Package Size	1ML VIAL
Formulary Category	BQ
Pkg Price	13.70
Unit Price	13.70
Strength	1MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	8
Package Description	VIAL
Manufacturer Code	ZYD
Manufacturer Name	ZYDUS
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code	Anti-Neoplastic
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	1000
Therapeutic Desc	ANTINEOPLASTICS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ANTINEOPLASTICS
Amend Date