Drugs available on Contract - [TYPHIM V1 (AVP) TYPHOID], []

Contract Number	41
Brand Code	37617
Brand Name	TYPHIM V1 (AVP) TYPHOID
Active Ingredient	SALMONELLA TYPHI
Trade Name	TYPHIM V1
Package Size	1 DS VIAL
Formulary Category	B
Pkg Price	33.41
Unit Price	33.4082
Strength	25MCG
Unit Description	VIAL
Max. Reimbursable Quantity / Month	1
Package Description	VIAL
Manufacturer Code	AVP
Manufacturer Name	SANOFI PASTEUR
Agent Code	COL
Agent Name	COLLINS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-10-21
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	8012
Therapeutic Desc	VACCINES
Status Description
Default Route	IM
Max Repeats	0
Therapeutic Head	VACCINES
Amend Date	2024-09-09