Drugs available on Contract - [METOCLOPRAMIDE 10MG TAB (FSB) ], []

Contract Number	41
Brand Code	3631BB
Brand Name	METOCLOPRAMIDE 10MG TAB (FSB)
Active Ingredient	METOCLOPRAMIDE
Trade Name	METOCLOPRAMIDE
Package Size	500'S
Formulary Category	A
Pkg Price	21.86
Unit Price	0.0437
Strength	10MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	90
Package Description	BOX
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
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
Dentist Allowed	N
Therapeutic Code	5632
Therapeutic Desc	GI PROKINETIC AGENTS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	GI PROKINETIC AGENTS
Amend Date