Drugs available on Contract - [CRESTOR 40MG TAB (AZN) ROSUVASTATIN (C)], []

Contract Number	41
Brand Code	1134Y
Brand Name	CRESTOR 40MG TAB (AZN) ROSUVASTATIN (C)
Active Ingredient	ROSUVASTATIN
Trade Name	CRESTOR
Package Size	30'S
Formulary Category	C
Pkg Price	46.24
Unit Price	1.5413
Strength	40MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	30
Package Description	BOX
Manufacturer Code	AZN
Manufacturer Name	ASTRAZENECA AB
Agent Code	COL
Agent Name	COLLINS LTD
Benefit
Benefit Cat Code
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	240608
Therapeutic Desc	HMG-CoA REDUCTASE INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	HMG-CoA REDUCTASE INHIBITORS
Amend Date