Drugs available on Contract - [HYDROCORTISONE 1% CR (KWA) ], []

Contract Number	41
Brand Code	2683AJ
Brand Name	HYDROCORTISONE 1% CR (KWA)
Active Ingredient	HYDROCORTISONE
Trade Name	HYDROCORTISONE
Package Size	15G
Formulary Category	A
Pkg Price	3.56
Unit Price	3.561
Strength	1%
Unit Description	TUBE
Max. Reimbursable Quantity / Month	2
Package Description	BOX
Manufacturer Code	KWA
Manufacturer Name	KWALITY 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	APPLY BD
SIGFactor	1
Dentist Allowed	N
Therapeutic Code	8406
Therapeutic Desc	ANTI-INFLAMMATORY AGENTS, TOPICAL
Status Description
Default Route	TOPICAL
Max Repeats	0
Therapeutic Head	ANTI-INFLAMMATORY AGENTS, TOPICAL
Amend Date