Drugs available on Contract - [SODIUM CHLORIDE 0.45% INJ (BAX)], []

Contract Number	42
Brand Code	19938
Brand Name	SODIUM CHLORIDE 0.45% INJ (BAX)
Active Ingredient	SODIUM CHLORIDE
Trade Name	SODIUM CHLORIDE
Package Size	1 LITRE
Formulary Category	B
Pkg Price	8.59
Unit Price	8.59
Strength	0.45%
Unit Description	BAG
Max. Reimbursable Quantity / Month	0
Package Description	BAG
Manufacturer Code	BAX
Manufacturer Name	BAXTER EXPORT CORP.
Agent Code	STO
Agent Name	BRYDEN STOKES LTD
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
Dentist Allowed	N
Therapeutic Code	4012
Therapeutic Desc	REPLACEMENT THERAPY
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	REPLACEMENT THERAPY
Amend Date