Drugs available on Contract - [PHENYLEPHRINE 10MG/ML INJ (OMG) (BQ)], []

Contract Number	41
Brand Code	2353F
Brand Name	PHENYLEPHRINE 10MG/ML INJ (OMG) (BQ)
Active Ingredient	PHENYLEPHRINE
Trade Name	PHENYLEPHRINE
Package Size	10X1ML
Formulary Category	BQ
Pkg Price	66.33
Unit Price	6.6327
Strength	10MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	OMG
Manufacturer Name	OMEGA
Agent Code	COL
Agent Name	COLLINS 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	121204
Therapeutic Desc	ALPHA ADRENERGIC AGONIST
Status Description
Default Route	IV/IM/SC
Max Repeats	0
Therapeutic Head	ALPHA ADRENERGIC AGONIST
Amend Date