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

Contract Number	41
Brand Code	1271A
Brand Name	KETAMINE 50MG/ML INJ (RTM) (BQ)
Active Ingredient	KETAMINE
Trade Name	KETAMINE
Package Size	10ML VIAL
Formulary Category	BQ
Pkg Price	15.43
Unit Price	15.43
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	2024-05-22
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
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	2024-05-21