Drugs available on Contract - [LIDOCAINE 2% GEL (CAD) ], []

Contract Number	41
Brand Code	30247
Brand Name	LIDOCAINE 2% GEL (CAD)
Active Ingredient	LIDOCAINE
Trade Name	LIDOCAINE
Package Size	30G
Formulary Category	B
Pkg Price	4.0231
Unit Price	4.0231
Strength	2%
Unit Description	TUBE
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	CAD
Manufacturer Name	CADILA
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
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	1
Dentist Allowed	N
Therapeutic Code	7200
Therapeutic Desc	LOCAL ANESTHETICS
Status Description
Default Route	TOPICAL
Max Repeats	0
Therapeutic Head	LOCAL ANESTHETICS
Amend Date