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

Contract Number	42
Brand Code	0801P
Brand Name	DOPAMINE 40MG/ML INJ (SLS)
Active Ingredient	DOPAMINE
Trade Name	DOPAMINE
Package Size	25X5ML
Formulary Category	BQ
Pkg Price	51.38
Unit Price	2.06
Strength	40MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	SLS
Manufacturer Name	SAMARTH LIFE SCIENCES
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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	121208
Therapeutic Desc	BETA ADRENERGIC AGONIST
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	BETA ADRENERGIC AGONIST
Amend Date