Drugs available on Contract - [DEFLAZACORT 30MG TAB (KWA) (C)], []

Contract Number	41
Brand Code	0722B
Brand Name	DEFLAZACORT 30MG TAB (KWA) (C)
Active Ingredient	DEFLAZACORT
Trade Name	DEFLAZACORT
Package Size	10'S
Formulary Category	C
Pkg Price	13.86
Unit Price	1.3864
Strength	30MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
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	0
Dentist Allowed	N
Therapeutic Code	6804
Therapeutic Desc	ADRENALS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	ADRENALS
Amend Date