Drugs available on Contract - [POVIDONE IODINE 1% SOLN (RYV) (B)], []

Contract Number	41
Brand Code	3261U
Brand Name	POVIDONE IODINE 1% SOLN (RYV) (B)
Active Ingredient	POVIDONE IODINE
Trade Name	POVIDONE IODINE
Package Size	500ML
Formulary Category	B
Pkg Price	13.51
Unit Price	0.027
Strength	1%
Unit Description	ML
Max. Reimbursable Quantity / Month	500
Package Description	BOTT
Manufacturer Code	RYV
Manufacturer Name	RYVIS PHARMA PVT. LTD
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-06-18
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	840492
Therapeutic Desc	ANTI-INFECTIVES TOPICAL MISCELLANEOUS
Status Description
Default Route	TOPICAL
Max Repeats	6
Therapeutic Head	ANTI-INFECTIVES TOPICAL MISCELLANEOUS
Amend Date	2024-06-18