Drugs available on Contract - [CODEINE PHOSPHATE 15MG TAB (TEV/COL)], []

Contract Number	40
Brand Code	1321G
Brand Name	CODEINE PHOSPHATE 15MG TAB (TEV/COL)
Active Ingredient	CODEINE PHOSPHATE
Trade Name	CODEINE PHOSPHATE
Package Size	28'S
Formulary Category	A
Pkg Price	5.03
Unit Price	0.18
Strength	15MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	112
Package Description	TAB
Manufacturer Code	TEV
Manufacturer Name	TEVA UK LTD.
Agent Code	COL
Agent Name	COLLINS 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	1QID
SIGFactor	4
Dentist Allowed	Yes
Therapeutic Code	280808
Therapeutic Desc	OPIATE AGONISTS
Status Description
Default Route	Oral
Max Repeats	2
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date