Drugs available on Contract - [ASPIRIN 325MG TAB (QUC) ], []

Contract Number	41
Brand Code	1303D
Brand Name	ASPIRIN 325MG TAB (QUC)
Active Ingredient	ASPIRIN
Trade Name	ASPIRIN
Package Size	300'S
Formulary Category	A
Pkg Price	16.99
Unit Price	0.0566
Strength	325MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	240
Package Description	BOX
Manufacturer Code	QUC
Manufacturer Name	QUALITY CHOICE
Agent Code	RXP
Agent Name	RX PRO INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	Y
Therapeutic Code	28080424
Therapeutic Desc	SALICYLATES
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	SALICYLATES
Amend Date