Drugs available on Contract - [CHLORPROMAZINE 50MG TAB (TOR) ], []

Contract Number	41
Brand Code	15929
Brand Name	CHLORPROMAZINE 50MG TAB (TOR)
Active Ingredient	CHLORPROMAZINE
Trade Name	CHLORPROMAZINE
Package Size	500'S
Formulary Category	A
Pkg Price	264.2755
Unit Price	0.5286
Strength	50MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	90
Package Description	BOTT
Manufacturer Code	TOR
Manufacturer Name	TORRENT PHARMACEUTICALS
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
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	28160824
Therapeutic Desc	PHENOTHIAZINES
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	PHENOTHIAZINES
Amend Date