Drugs available on Contract - [PLASEP 75MG TAB (MSN) CLOPIDOGREL], []

Contract Number	41
Brand Code	3921CK
Brand Name	PLASEP 75MG TAB (MSN) CLOPIDOGREL
Active Ingredient	CLOPIDOGREL
Trade Name	PLASEP
Package Size	3X10
Formulary Category	A
Pkg Price	2.64
Unit Price	0.0879
Strength	75MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	30
Package Description	BOX
Manufacturer Code	MSN
Manufacturer Name	MSN LABS
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	1 OD
SIGFactor	1
Dentist Allowed	N
Therapeutic Code	201218
Therapeutic Desc	PLATELET AGGREGATION INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	PLATELET AGGREGATION INHIBITORS
Amend Date