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

Contract Number	41
Brand Code	2713R
Brand Name	PREDNISOLONE 20MG TAB (ARP)
Active Ingredient	PREDNISOLONE
Trade Name	PREDNISOLONE
Package Size	50'S
Formulary Category	A
Pkg Price	4.1
Unit Price	0.082
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	2024-10-01
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	ORAL
Max Repeats	6
Therapeutic Head	ADRENALS
Amend Date	2024-08-20