Drugs available on Contract - [PIMECROLIMUS 1% CR (KWA/ATB) ], []

Contract Number	40
Brand Code	12214
Brand Name	PIMECROLIMUS 1% CR (KWA/ATB)
Active Ingredient	PIMECROLIMUS
Trade Name	PIMECROLIMUS
Package Size	15G
Formulary Category	C
Pkg Price	57.08
Unit Price	57.08
Strength	1%
Unit Description	CREAM
Max. Reimbursable Quantity / Month	0
Package Description	TUBE
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	No
Therapeutic Code	8436
Therapeutic Desc	MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS
Status Description
Default Route	Topical
Max Repeats	0
Therapeutic Head	SKIN-MUCOUS MEMBRANE PREPARATIONS
Amend Date