Drugs available on Contract - [ATORVASTATIN 40MG TAB (CIR) ], []

Contract Number	41
Brand Code	1133FS
Brand Name	ATORVASTATIN 40MG TAB (CIR)
Active Ingredient	ATORVASTATIN
Trade Name	ATORVASTATIN
Package Size	30'S
Formulary Category	A
Pkg Price	2.01
Unit Price	0.0671
Strength	40MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	BOTT
Manufacturer Code	CIR
Manufacturer Name	CIRON PHARMA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code	18
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	240608
Therapeutic Desc	HMG-CoA REDUCTASE INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	HMG-CoA REDUCTASE INHIBITORS
Amend Date