Drugs available on Contract - [URS-11 STRP (TED) DIAGNOSTIC URINE], []

Contract Number	42
Brand Code	19412
Brand Name	URS-11 STRP (TED) DIAGNOSTIC URINE
Active Ingredient	DIAGNOSTIC URINE
Trade Name	URS-11
Package Size	100'S
Formulary Category	C
Pkg Price	40.77
Unit Price	40.77
Strength
Unit Description	BOTT
Max. Reimbursable Quantity / Month	0
Package Description	BOTT
Manufacturer Code	TED
Manufacturer Name	TECO DIAGNOSTICS
Agent Code	COL
Agent Name	AVENTA BARBADOS
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
Dentist Allowed	N
Therapeutic Code	3688
Therapeutic Desc	URINE CONTENTS
Status Description
Default Route
Max Repeats	0
Therapeutic Head	URINE CONTENTS
Amend Date