Drugs available on Contract - [CILENOL 10MG TAB (CIR) BISOPROLOL], []

Contract Number	40
Brand Code	1184M
Brand Name	CILENOL 10MG TAB (CIR) BISOPROLOL
Active Ingredient	BISOPROLOL
Trade Name	CILENOL 10MG TAB
Package Size	30'S
Formulary Category	A
Pkg Price	$4.05
Unit Price	$0.135
Strength	10MG TAB
Unit Description	TABLET
Max. Reimbursable Quantity / Month	30
Package Description	TABS
Manufacturer Code	CIR
Manufacturer Name	CIRON, PHARMA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit	B
Benefit Cat Code
Drug Contract Start Date	2023-06-06
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode	1TOD
SIGFactor	1
Dentist Allowed
Therapeutic Code	2424
Therapeutic Desc
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	BETA ADRENERGIC BLOCKING AGENTS
Amend Date	2023-06-09