Drugs available on Contract - [VASOPRESSIN 20U/ML INJ (FSB)], []

Contract Number	42
Brand Code	2931Z
Brand Name	VASOPRESSIN 20U/ML INJ (FSB)
Active Ingredient	VASOPRESSIN
Trade Name	VASOPRESSIN
Package Size	5X1ML
Formulary Category	BQ
Pkg Price	64.10
Unit Price	12.82
Strength	20U/ML
Unit Description	AMPP
Max. Reimbursable Quantity / Month	6
Package Description
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	STO
Agent Name	BRYDEN STOKES LTD
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	6828
Therapeutic Desc	PITUITARY
Status Description
Default Route	IV/IM/SC
Max Repeats	0
Therapeutic Head	PITUITARY
Amend Date	2026-03-05