Drugs available on Contract - [PHYTOMENADIONE 10MG TAB (KWA) ], []

Contract Number	41
Brand Code	35216
Brand Name	PHYTOMENADIONE 10MG TAB (KWA)
Active Ingredient	PHYTOMENADIONE
Trade Name	PHYTOMENADIONE
Package Size	10'S
Formulary Category	A
Pkg Price	8.29
Unit Price	0.8291
Strength	10MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	90
Package Description	BOX
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
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	8824
Therapeutic Desc	VITAMIN K ACTIVITY
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	VITAMIN K ACTIVITY
Amend Date