Drugs available on Contract - [OXYTOCIN 10U/ML INJ (LAF)], []

Contract Number	42
Brand Code	3051AB
Brand Name	OXYTOCIN 10U/ML INJ (LAF)
Active Ingredient	OXYTOCIN
Trade Name	OXYTOCIN
Package Size	100X1ML
Formulary Category	BQ
Pkg Price	86.04
Unit Price	0.86
Strength	10U/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	LAF
Manufacturer Name	LABORATORIOS ALFA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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	7600
Therapeutic Desc	OXYTOCICS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	OXYTOCICS
Amend Date