Drugs available on Contract - [HYDROCORTISONE SOD SUCC 100MG INJ ( (B)], []

Contract Number	41
Brand Code	2691AC
Brand Name	HYDROCORTISONE SOD SUCC 100MG INJ ( (B)
Active Ingredient	HYDROCORTISONE SODIUM SUCCINATE
Trade Name	HYDROCORTISONE SOD SUCC
Package Size	100MG VIAL
Formulary Category	B
Pkg Price	2.09
Unit Price	2.0931
Strength	100MG
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
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
SIGFactor	0
Dentist Allowed
Therapeutic Code	6804
Therapeutic Desc	ADRENALS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ADRENALS
Amend Date