Drugs available on Contract - [METHYLPREDNISOLONE 40MG/ML INJ (MON (B)], []

Contract Number	41
Brand Code	2701C
Brand Name	METHYLPREDNISOLONE 40MG/ML INJ (MON (B)
Active Ingredient	METHYLPREDNISOLONE
Trade Name	METHYLPREDNISOLONE
Package Size	2ML VIAL
Formulary Category	B
Pkg Price	4.29
Unit Price	4.29
Strength	40MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	MON
Manufacturer Name	MONTAGE PHARMACEUTICALS
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
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
Dentist Allowed	N
Therapeutic Code	6804
Therapeutic Desc	ADRENALS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ADRENALS
Amend Date