Drugs available on Contract - [ATORSTAN 10MG TAB (REM) ATORVASTATI], []

Contract Number	41
Brand Code	1131DW
Brand Name	ATORSTAN 10MG TAB (REM) ATORVASTATI
Active Ingredient	ATORVASTATIN
Trade Name	ATORSTAN
Package Size	3x10
Formulary Category	A
Pkg Price	4.78
Unit Price	0.1593
Strength	10MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	30
Package Description	BOX
Manufacturer Code	REM
Manufacturer Name	REMEDICA LTD
Agent Code	SBI
Agent Name	MASSY DISTRIBUTION (BDOS) LTD
Benefit
Benefit Cat Code	18
Drug Contract Start Date	2024-08-07
Drug Contract End Date	2024-09-18
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode	1 OD
SIGFactor	1
Dentist Allowed	N
Therapeutic Code	240608
Therapeutic Desc	HMG-CoA REDUCTASE INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	HMG-CoA REDUCTASE INHIBITORS
Amend Date	2024-08-07