Drugs available on Contract - [DOPAMINE 40MG/ML INJ (RTM) (B)], []

Contract Number	41
Brand Code	08011
Brand Name	DOPAMINE 40MG/ML INJ (RTM) (B)
Active Ingredient	DOPAMINE
Trade Name	DOPAMINE
Package Size	10X5ML
Formulary Category	B
Pkg Price	114.5
Unit Price	11.4496
Strength	40MG/ML
Unit Description	AMP
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	RTM
Manufacturer Name	PANPHARMA GMBH
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
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	10
Dentist Allowed	N
Therapeutic Code	121208
Therapeutic Desc	BETA ADRENERGIC AGONIST
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	BETA ADRENERGIC AGONIST
Amend Date