Drugs available on Contract - [LAFOL 1MG TAB (LDP/AHI) FOLIC ACID], []

Contract Number	40
Brand Code	3482D
Brand Name	LAFOL 1MG TAB (LDP/AHI) FOLIC ACID
Active Ingredient	FOLIC ACID
Trade Name	LAFOL
Package Size	10X10
Formulary Category	A
Pkg Price	4.29
Unit Price	0.04
Strength	1MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	60
Package Description	TAB
Manufacturer Code	LDP
Manufacturer Name	LABDHI PHARMA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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	8808
Therapeutic Desc	VITAMIN B COMPLEX
Status Description
Default Route	Oral
Max Repeats	6
Therapeutic Head	VITAMINS
Amend Date