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

Contract Number	41
Brand Code	3482D
Brand Name	LAFOL 1MG TAB (LDP) FOLIC ACID
Active Ingredient	FOLIC ACID
Trade Name	LAFOL
Package Size	10X10
Formulary Category	A
Pkg Price	4.4
Unit Price	0.044
Strength	1MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	BOX
Manufacturer Code	LDP
Manufacturer Name	LABDHI PHARMA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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