Drugs available on Contract - [HALOPERIDOL 5MG/ML INJ (MON/PHA) ], []

Contract Number	40
Brand Code	1642X
Brand Name	HALOPERIDOL 5MG/ML INJ (MON/PHA)
Active Ingredient	HALOPERIDOL
Trade Name	HALOPERIDOL
Package Size	10X1ML
Formulary Category	B
Pkg Price	6.20
Unit Price	0.62
Strength	5MG/ML
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	28160808
Therapeutic Desc	BUTYROPHENES
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date