Drugs available on Contract - [MEDROXYPROGESTERONE 150MG/ML INJ (KWA) (C)], []

Contract Number	41
Brand Code	2953G
Brand Name	MEDROXYPROGESTERONE 150MG/ML INJ (KWA) (C)
Active Ingredient	MEDROXYPROGESTERONE
Trade Name	MEDROXYPROGESTERONE
Package Size	1ML VIAL
Formulary Category	C
Pkg Price	4.81
Unit Price	4.8114
Strength	150MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	1
Package Description	VIAL
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
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	0
Dentist Allowed	N
Therapeutic Code	6812
Therapeutic Desc	CONTRACEPTIVES
Status Description
Default Route	IM
Max Repeats	0
Therapeutic Head	CONTRACEPTIVES
Amend Date