Drugs available on Contract - [AMINOPHYLLINE 25MG/ML INJ (SGH/COL) ], []

Contract Number	40
Brand Code	3442E
Brand Name	AMINOPHYLLINE 25MG/ML INJ (SGH/COL)
Active Ingredient	AMINOPHYLLINE
Trade Name	AMINOPHYLLINE
Package Size	10X10ML
Formulary Category	B
Pkg Price	28.00
Unit Price	2.80
Strength	25MG/ML
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	AMP
Manufacturer Code	SGH
Manufacturer Name	SEIGFRIED-HAMELN
Agent Code	COL
Agent Name	COLLINS 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	0
Dentist Allowed	No
Therapeutic Code	4818
Therapeutic Desc	RESPIRATORY SMOOTH MUSCLE RELAXANTS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	RESPIRATORY TRACT AGENTS
Amend Date