Drugs available on Contract - [MULTISTIX 10SG STRP (SHD) DIAGNOSTIC URINE], []

Contract Number	42
Brand Code	1941B
Brand Name	MULTISTIX 10SG STRP (SHD) DIAGNOSTIC URINE
Active Ingredient	DIAGNOSTIC URINE
Trade Name	MULTISTIX 10SG
Package Size	100'S
Formulary Category	B
Pkg Price	58.91
Unit Price	58.91
Strength
Unit Description	BOTT
Max. Reimbursable Quantity / Month	0
Package Description	BOTT
Manufacturer Code	SHD
Manufacturer Name	SIEMENS HEALTHCARE DIAGNOSTICS
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	3688
Therapeutic Desc	URINE CONTENTS
Status Description
Default Route
Max Repeats	0
Therapeutic Head	URINE CONTENTS
Amend Date	2026-02-05