Drugs available on Contract - [BENZTROPINE 1MG/ML INJ (MON)], []

Contract Number	42
Brand Code	0742L
Brand Name	BENZTROPINE 1MG/ML INJ (MON)
Active Ingredient	BENZTROPINE
Trade Name	BENZTROPINE
Package Size	5X2ML
Formulary Category	B
Pkg Price	13.43
Unit Price	2.69
Strength	1MG/ML
Unit Description	AMPG
Max. Reimbursable Quantity / Month	6
Package Description	BOX
Manufacturer Code	MON
Manufacturer Name	MONTAGE PHARMACEUTICALS
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
Benefit
Benefit Cat Code
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	283608
Therapeutic Desc	ANTICHOLINERGIC AGENTS (PARKINSONS)
Status Description
Default Route	IV
Max Repeats	6
Therapeutic Head	ANTICHOLINERGIC AGENTS (PARKINSONS)
Amend Date