Drugs available on Contract - [CORTISOL 20MG TAB (ARP) PREDNISOLONE], []

Contract Number	41
Brand Code	2713N
Brand Name	CORTISOL 20MG TAB (ARP) PREDNISOLONE
Active Ingredient	PREDNISOLONE
Trade Name	CORTISOL
Package Size	100'S
Formulary Category	A
Pkg Price	8.21
Unit Price	0.0821
Strength	20MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	90
Package Description	BOX
Manufacturer Code	ARP
Manufacturer Name	ARISTOPHARMA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-09-30
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	6804
Therapeutic Desc	ADRENALS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	ADRENALS
Amend Date	2024-08-19