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

Contract Number	42
Brand Code	3481AF
Brand Name	FOLIC ACID 5MG TAB (CPP)
Active Ingredient	FOLIC ACID
Trade Name	FOLIC ACID
Package Size	28'S
Formulary Category	A
Pkg Price	1.30
Unit Price	0.05
Strength	5MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	BLIS
Manufacturer Code	CPP
Manufacturer Name	WOCKHARDT UK LTD
Agent Code	COL
Agent Name	AVENTA BARBADOS
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
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