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

Contract Number	40
Brand Code	0742X
Brand Name	BENZTROPINE 1MG/ML INJ (CIR/AHI)
Active Ingredient	BENZTROPINE
Trade Name	BENZTROPINE
Package Size	2ML
Formulary Category	B
Pkg Price	5.11
Unit Price	5.11
Strength	1MG/ML
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	AMP
Manufacturer Code	CIR
Manufacturer Name	CIRON PHARMA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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
Dentist Allowed	No
Therapeutic Code	283608
Therapeutic Desc	ANTICHOLINERGIC AGENTS (PARKINSONS)
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date