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

Contract Number	42
Brand Code	3681W
Brand Name	NALOXONE 0.4MG/ML INJ (OMG)
Active Ingredient	NALOXONE
Trade Name	NALOXONE
Package Size	10X1ML
Formulary Category	B
Pkg Price	52.19
Unit Price	5.22
Strength	0.4MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	OMG
Manufacturer Name	OMEGA
Agent Code	COL
Agent Name	AVENTA BARBADOS
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	2810
Therapeutic Desc	OPIATE ANTAGONISTS
Status Description
Default Route	IV/IM/SC
Max Repeats	0
Therapeutic Head	OPIATE ANTAGONISTS
Amend Date