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

Contract Number	41
Brand Code	3261Z
Brand Name	POVIDONE IODINE 1% SOLN (FSB) (B)
Active Ingredient	POVIDONE IODINE
Trade Name	POVIDONE IODINE
Package Size	1 LITRE
Formulary Category	B
Pkg Price	20.71
Unit Price	0.0207
Strength	1%
Unit Description	ML
Max. Reimbursable Quantity / Month	500
Package Description	BOTT
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
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	840492
Therapeutic Desc	ANTI-INFECTIVES TOPICAL MISCELLANEOUS
Status Description
Default Route	TOPICAL
Max Repeats	6
Therapeutic Head	ANTI-INFECTIVES TOPICAL MISCELLANEOUS
Amend Date