Drugs available on Contract - [TOPME 1MG/ML INJ (JLP) METOPROLOL], []

Contract Number	42
Brand Code	1183J
Brand Name	TOPME 1MG/ML INJ (JLP) METOPROLOL
Active Ingredient	METOPROLOL
Trade Name	TOPME
Package Size	5X5ML
Formulary Category	BQ
Pkg Price	8.16
Unit Price	1.63
Strength	1MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	JLP
Manufacturer Name	JOHN LEE PHARMACEUTICALS
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	2424
Therapeutic Desc	BETA ADRENERGIC BLOCKING AGENTS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	BETA ADRENERGIC BLOCKING AGENTS
Amend Date