Drugs available on Contract - [DIMENHYDRINATE 50MG TAB (FSB/ATB)], []

Contract Number	40
Brand Code	2561S
Brand Name	DIMENHYDRINATE 50MG TAB (FSB/ATB)
Active Ingredient	DIMENHYDRINATE
Trade Name	DIMENHYDRINATE
Package Size	10X10
Formulary Category	A
Pkg Price	5.08
Unit Price	0.05
Strength	50MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	180
Package Description	TAB
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-09-30
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	No
Therapeutic Code	5622
Therapeutic Desc	ANTIEMETICS
Status Description
Default Route	Oral
Max Repeats	6
Therapeutic Head	GASTROINTESTINAL DRUGS
Amend Date	2022-03-30