Drugs available on Contract - [MOMETASONE 0.1% CR (KWA/ATB)], []

Contract Number	40
Brand Code	3301AX
Brand Name	MOMETASONE 0.1% CR (KWA/ATB)
Active Ingredient	MOMETASONE
Trade Name	MOMETASONE
Package Size	15G
Formulary Category	A
Pkg Price	4.49
Unit Price	4.49
Strength	0.1%
Unit Description	CREAM
Max. Reimbursable Quantity / Month	2
Package Description	TUBE
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode	APPLY OD
SIGFactor	1
Dentist Allowed	No
Therapeutic Code	8406
Therapeutic Desc	ANTI-INFLAMMATORY AGENTS, TOPICAL
Status Description
Default Route	TOPICAL
Max Repeats	0
Therapeutic Head	SKIN-MUCOUS MEMBRANE PREPARATIONS
Amend Date