Drugs available on Contract - [EPHEDRINE HCL 50MG/ML INJ (AKI) ], []

Contract Number	41
Brand Code	0813B
Brand Name	EPHEDRINE HCL 50MG/ML INJ (AKI)
Active Ingredient	EPHEDRINE HCL
Trade Name	EPHEDRINE HCL
Package Size	10X1ML
Formulary Category	B
Pkg Price	2248.76
Unit Price	224.8761
Strength	50MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	30
Package Description	BOX
Manufacturer Code	AKI
Manufacturer Name	AKORN INC.
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	121212
Therapeutic Desc	ALPHA & BETA ADRENERGIC AGONIST
Status Description
Default Route	IV
Max Repeats	6
Therapeutic Head	ALPHA & BETA ADRENERGIC AGONIST
Amend Date