Drugs available on Contract - [NALOXONE 0.4MG/ML INJ (MON/PHA) ], []

Contract Number	40
Brand Code	3681T
Brand Name	NALOXONE 0.4MG/ML INJ (MON/PHA)
Active Ingredient	NALOXONE
Trade Name	NALOXONE
Package Size	5X1ML
Formulary Category	BQ
Pkg Price	13.54
Unit Price	2.71
Strength	0.4MG/ML
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	AMP
Manufacturer Code	MON
Manufacturer Name	MONTAGE PHARMACEUTICALS
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
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
Dentist Allowed	No
Therapeutic Code	2810
Therapeutic Desc	OPIATE ANTAGONISTS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date