Drugs available on Contract - [NORADRENALINE 1MG/ML INJ (MON/PHA) ], []

Contract Number	40
Brand Code	0861F
Brand Name	NORADRENALINE 1MG/ML INJ (MON/PHA)
Active Ingredient	NORADRENALINE
Trade Name	NORADRENALINE
Package Size	5X4ML
Formulary Category	BQ
Pkg Price	16.55
Unit Price	3.31
Strength	1MG/ML
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	AMP
Manufacturer Code	MON
Manufacturer Name	MONTAGE PHARMACEUTICALS
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
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	121212
Therapeutic Desc	ALPHA & BETA ADRENERGIC AGONIST
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	AUTONOMIC DRUGS
Amend Date