Drugs available on Contract - [FENTANYL CITRATE 50MCG/ML INJ (MTP/COL) ], []

Contract Number	40
Brand Code	13329
Brand Name	FENTANYL CITRATE 50MCG/ML INJ (MTP/COL)
Active Ingredient	FENTANYL CITRATE
Trade Name	FENTANYL CITRATE
Package Size	10X10ML
Formulary Category	BQ
Pkg Price	31.26
Unit Price	3.13
Strength	50MCG/ML
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	AMP
Manufacturer Code	MTP
Manufacturer Name	MARTINDALE PHARMACEUTICALS
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
SIGFactor	0
Dentist Allowed	No
Therapeutic Code	280808
Therapeutic Desc	OPIATE AGONISTS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date