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

Contract Number	41
Brand Code	0801P
Brand Name	DOPAMINE 40MG/ML INJ (SLS) (B)
Active Ingredient	DOPAMINE
Trade Name	DOPAMINE
Package Size	25X5ML
Formulary Category	B
Pkg Price	40.37
Unit Price	1.6147
Strength	40MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	SLS
Manufacturer Name	SAMARTH LIFE SCIENCES
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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	121208
Therapeutic Desc	BETA ADRENERGIC AGONIST
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	BETA ADRENERGIC AGONIST
Amend Date