Drugs available on Contract - [PROPRANOLOL 1MG/ML INJ (DIL/AHI) ], []

Contract Number	40
Brand Code	1103E
Brand Name	PROPRANOLOL 1MG/ML INJ (DIL/AHI)
Active Ingredient	PROPRANOLOL
Trade Name	PROPRANOLOL
Package Size	10X1ML
Formulary Category	BQ
Pkg Price	135.37
Unit Price	13.54
Strength	1MG/ML
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	AMP
Manufacturer Code	DIL
Manufacturer Name	FRESENIUS KABI
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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	2424
Therapeutic Desc	BETA ADRENERGIC BLOCKING AGENTS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	CARDIOVASCULAR DRUGS
Amend Date