Drugs available on Contract - [OXYBUPROCAINE MINIMS 0.4% EYE DR (CAM) (B)], []

Contract Number	41
Brand Code	23012
Brand Name	OXYBUPROCAINE MINIMS 0.4% EYE DR (CAM) (B)
Active Ingredient	OXYBUPROCAINE
Trade Name	OXYBUPROCAINE MINIMS
Package Size	20X0.5ML
Formulary Category	B
Pkg Price	82.53
Unit Price	4.1264
Strength	0.4%
Unit Description	BOX
Max. Reimbursable Quantity / Month	4
Package Description	AMPP
Manufacturer Code	CAM
Manufacturer Name	MORNINGSIDE PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
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	5216
Therapeutic Desc	EENT LOCAL ANESTHETIC
Status Description
Default Route	OPHTHALMIC
Max Repeats	0
Therapeutic Head	EENT LOCAL ANESTHETIC
Amend Date