Drugs available on Contract - [FOLIC ACID 5MG TAB (HEA) ], []

Contract Number	41
Brand Code	3481A
Brand Name	FOLIC ACID 5MG TAB (HEA)
Active Ingredient	FOLIC ACID
Trade Name	FOLIC ACID
Package Size	1000'S
Formulary Category	A
Pkg Price	7.94
Unit Price	0.0079
Strength	5MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	JAR
Manufacturer Code	HEA
Manufacturer Name	HEALTH 2000 INC
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	8808
Therapeutic Desc	VITAMIN B COMPLEX
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	VITAMIN B COMPLEX
Amend Date