Drugs available on Contract - [ZOLENDRONIC ACID 4MG INJ (ZUV) (BQ)], []

Contract Number	41
Brand Code	41016
Brand Name	ZOLENDRONIC ACID 4MG INJ (ZUV) (BQ)
Active Ingredient	ZOLENDRONIC ACID
Trade Name	ZOLENDRONIC ACID
Package Size	4MG VIAL
Formulary Category	BQ
Pkg Price	13.59
Unit Price	13.5916
Strength	4MG
Unit Description	VIAL
Max. Reimbursable Quantity / Month	2
Package Description	VIAL
Manufacturer Code	ZUV
Manufacturer Name	ZUVIUS
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
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	1
Dentist Allowed	N
Therapeutic Code	9224
Therapeutic Desc	BONE RESORPTION INHIBITORS
Status Description
Default Route	INJ
Max Repeats	6
Therapeutic Head	BONE RESORPTION INHIBITORS
Amend Date