Drugs available on Contract - [ELOCOM 0.1% CR (MSD/STO) MOMETASONE], []

Contract Number	40
Brand Code	3301BC
Brand Name	ELOCOM 0.1% CR (MSD/STO) MOMETASONE
Active Ingredient	MOMETASONE
Trade Name	ELOCOM
Package Size	15G
Formulary Category	C
Pkg Price	10.11
Unit Price	10.11
Strength	0.1%
Unit Description	CREAM
Max. Reimbursable Quantity / Month	0
Package Description	TUBE
Manufacturer Code	MSD
Manufacturer Name	MERCK SHARP & DOHME (I.A.) CORP
Agent Code	STO
Agent Name	BRYDEN STOKES 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
SIGFactor
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