Drugs available on Contract - [GLYCINE 1.5% INJ (BRA) (BQ)], []

Contract Number	41
Brand Code	40313
Brand Name	GLYCINE 1.5% INJ (BRA) (BQ)
Active Ingredient	GLYCINE
Trade Name	GLYCINE
Package Size	3 LITRES
Formulary Category	BQ
Pkg Price	46.89
Unit Price	46.8911
Strength	1.5%
Unit Description	BOTT
Max. Reimbursable Quantity / Month	0
Package Description	BOTT
Manufacturer Code	BRA
Manufacturer Name	B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE
Agent Code	COL
Agent Name	COLLINS 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	0
Dentist Allowed	N
Therapeutic Code	4036
Therapeutic Desc	IRRIGATING SOLUTIONS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	IRRIGATING SOLUTIONS
Amend Date