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

Contract Number	42
Brand Code	0861F
Brand Name	NORADRENALINE 1MG/ML INJ (MON)
Active Ingredient	NORADRENALINE
Trade Name	NORADRENALINE
Package Size	5X4ML
Formulary Category	BQ
Pkg Price	12.15
Unit Price	2.43
Strength	1MG/ML
Unit Description	AMPG
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	MON
Manufacturer Name	MONTAGE PHARMACEUTICALS
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
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
Dentist Allowed	N
Therapeutic Code	121212
Therapeutic Desc	ALPHA & BETA ADRENERGIC AGONIST
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ALPHA & BETA ADRENERGIC AGONIST
Amend Date