Drugs available on Contract - [ADVIL 200MG TAB (GSK/COL) IBUPROFEN], []

Contract Number	40
Brand Code	4141QG
Brand Name	ADVIL 200MG TAB (GSK/COL) IBUPROFEN
Active Ingredient	IBUPROFEN
Trade Name	ADVIL
Package Size	24'S
Formulary Category	C
Pkg Price	7.42
Unit Price	0.31
Strength	200MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	0
Package Description	TAB
Manufacturer Code	GSK
Manufacturer Name	GLAXOSMITHKLINE
Agent Code	COL
Agent Name	COLLINS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode	1QID
SIGFactor	4
Dentist Allowed	Yes
Therapeutic Code	28080492
Therapeutic Desc	OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date