Drugs available on Contract - [PROPRANOLOL 80MG TAB (CAM) (C)], []

Contract Number	41
Brand Code	1104F
Brand Name	PROPRANOLOL 80MG TAB (CAM) (C)
Active Ingredient	PROPRANOLOL
Trade Name	PROPRANOLOL
Package Size	56'S
Formulary Category	C
Pkg Price	10.95
Unit Price	0.1956
Strength	80MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	150
Package Description	BOX
Manufacturer Code	CAM
Manufacturer Name	MORNINGSIDE PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit	B
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	0
Dentist Allowed	N
Therapeutic Code	2404
Therapeutic Desc	CARDIAC DRUGS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	CARDIAC DRUGS
Amend Date