Drugs available on Contract - [SONEXA 0.1% EYE DR (ARP) DEXAMETHAS], []

Contract Number	42
Brand Code	2662E
Brand Name	SONEXA 0.1% EYE DR (ARP) DEXAMETHAS
Active Ingredient	DEXAMETHASONE
Trade Name	SONEXA
Package Size	5ML
Formulary Category	B
Pkg Price	4.05
Unit Price	4.05
Strength	0.1%
Unit Description	BOTT
Max. Reimbursable Quantity / Month	1
Package Description	BOTT
Manufacturer Code	ARP
Manufacturer Name	ARISTOPHARMA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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	5208
Therapeutic Desc	EENT ANTI-INFLAMMATORY AGENTS
Status Description
Default Route	OPHTHALMIC
Max Repeats	6
Therapeutic Head	EENT ANTI-INFLAMMATORY AGENTS
Amend Date