Drugs available on Contract - [MAGNESIUM SULPHATE 50% INJ (MON/PHA) ], []

Contract Number	40
Brand Code	1491R
Brand Name	MAGNESIUM SULPHATE 50% INJ (MON/PHA)
Active Ingredient	MAGNESIUM SULPHATE
Trade Name	MAGNESIUM SULPHATE
Package Size	10X2ML
Formulary Category	B
Pkg Price	7.50
Unit Price	0.75
Strength	50%
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	AMP
Manufacturer Code	MON
Manufacturer Name	MONTAGE PHARMACEUTICALS
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
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	281292
Therapeutic Desc	ANTICONVULSANTS MISCELLANEOUS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date