Drugs available on Contract - [FOMODIN 40MG TAB (ANC) FAMOTIDINE], []

Contract Number	42
Brand Code	2594EJ
Brand Name	FOMODIN 40MG TAB (ANC) FAMOTIDINE
Active Ingredient	FAMOTIDINE
Trade Name	FOMODIN
Package Size	10X10
Formulary Category	A
Pkg Price	4.89
Unit Price	0.05
Strength	40MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	30
Package Description	BLIS
Manufacturer Code	ANC
Manufacturer Name	AEONIM HEALTHCARE
Agent Code	SBI
Agent Name	MASSY DISTRIBUTION (BDOS) 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	0
Dentist Allowed	N
Therapeutic Code	562812
Therapeutic Desc	HISTAMINE RECEPTOR ANTAGONIST
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	HISTAMINE RECEPTOR ANTAGONIST
Amend Date	2026-02-11