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

Contract Number	41
Brand Code	1103E
Brand Name	PROPRANOLOL 1MG/ML INJ (DIL)
Active Ingredient	PROPRANOLOL
Trade Name	PROPRANOLOL
Package Size	10X1ML
Formulary Category	BQ
Pkg Price	135.37
Unit Price	13.5372
Strength	1MG/ML
Unit Description	AMP
Max. Reimbursable Quantity / Month	30
Package Description	BOX
Manufacturer Code	DIL
Manufacturer Name	FRESENIUS KABI
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code	Anti-Hypertensive
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor
Dentist Allowed	N
Therapeutic Code	2424
Therapeutic Desc	BETA ADRENERGIC BLOCKING AGENTS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	BETA ADRENERGIC BLOCKING AGENTS
Amend Date