Drugs available on Contract - [METAMIZOL 500MG/ML INJ (MON)], []

Contract Number	42
Brand Code	13549
Brand Name	METAMIZOL 500MG/ML INJ (MON)
Active Ingredient	METAMIZOL
Trade Name	METAMIZOL
Package Size	5X5ML
Formulary Category	B
Pkg Price	7.50
Unit Price	1.50
Strength	500MG/ML
Unit Description	AMPG
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	MON
Manufacturer Name	MONTAGE PHARMACEUTICALS
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	280892
Therapeutic Desc	ANALGESICS AND PYRETICS MISCELLANEOUS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ANALGESICS AND PYRETICS MISCELLANEOUS
Amend Date