Drugs available on Contract - [JOHNLEE MPD 40MG/ML INJ (JLP) METHYLPREDNISOLONE], []

Contract Number	42
Brand Code	2701D
Brand Name	JOHNLEE MPD 40MG/ML INJ (JLP) METHYLPREDNISOLONE
Active Ingredient	METHYLPREDNISOLONE
Trade Name	JOHNLEE MPD
Package Size	2ML
Formulary Category	B
Pkg Price	3.67
Unit Price	3.67
Strength	40MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	JLP
Manufacturer Name	JOHN LEE PHARMACEUTICALS
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	6804
Therapeutic Desc	ADRENALS
Status Description
Default Route	IM/SC
Max Repeats	0
Therapeutic Head	ADRENALS
Amend Date