Drugs available on Contract - [GEMFIBROZIL 600MG TAB (CIP) ], []

Contract Number	41
Brand Code	11529
Brand Name	GEMFIBROZIL 600MG TAB (CIP)
Active Ingredient	GEMFIBROZIL
Trade Name	GEMFIBROZIL
Package Size	60'S
Formulary Category	B
Pkg Price	40.86
Unit Price	0.6809
Strength	600MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	BOX
Manufacturer Code	CIP
Manufacturer Name	CIPLA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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	1BD
SIGFactor	2
Dentist Allowed	N
Therapeutic Code	240606
Therapeutic Desc	FIBRIC ACID DERIVATIVES
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	FIBRIC ACID DERIVATIVES
Amend Date