Drugs available on Contract - [KETAMINE 50MG/ML INJ (RTM)], []

Contract Number	42
Brand Code	12718
Brand Name	KETAMINE 50MG/ML INJ (RTM)
Active Ingredient	KETAMINE
Trade Name	KETAMINE
Package Size	25X10ML
Formulary Category	BQ
Pkg Price	129.12
Unit Price	5.16
Strength	50MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	RTM
Manufacturer Name	PANPHARMA GMBH
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
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	280492
Therapeutic Desc	GENERAL ANAESTHETICS MISCELLANEOUS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	GENERAL ANAESTHETICS MISCELLANEOUS
Amend Date