Drugs available on Contract - [PANCURONIUM BROMIDE 2MG/ML INJ (RTM], []

Contract Number	42
Brand Code	0941F
Brand Name	PANCURONIUM BROMIDE 2MG/ML INJ (RTM
Active Ingredient	PANCURONIUM BROMIDE
Trade Name	PANCURONIUM BROMIDE
Package Size	5X2ML
Formulary Category	BQ
Pkg Price	81.55
Unit Price	16.31
Strength	2MG/ML
Unit Description	AMPG
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	RTM
Manufacturer Name	PANPHARMA GMBH
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	122020
Therapeutic Desc	NEUROMUSCULAR BLOCKING AGENTS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	NEUROMUSCULAR BLOCKING AGENTS
Amend Date