Drugs available on Contract - [PHENYTOIN 100MG CHEW TAB (KWA) ], []

Contract Number	41
Brand Code	1512G
Brand Name	PHENYTOIN 100MG CHEW TAB (KWA)
Active Ingredient	PHENYTOIN
Trade Name	PHENYTOIN
Package Size	100'S
Formulary Category	A
Pkg Price	18.02
Unit Price	0.1802
Strength	100MG
Unit Description	TABCH
Max. Reimbursable Quantity / Month	180
Package Description	BOX
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit	B
Benefit Cat Code	Anti-Epileptic
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	N
Therapeutic Code	281212
Therapeutic Desc	HYDANTOINS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	HYDANTOINS
Amend Date