Drugs available on Contract - [NEPATOP FREE 0.1% EYE DR (SYP) NEPAFENAC], []

Contract Number	41
Brand Code	4145AG
Brand Name	NEPATOP FREE 0.1% EYE DR (SYP) NEPAFENAC
Active Ingredient	NEPAFENAC
Trade Name	NEPATOP FREE
Package Size	5ML
Formulary Category	A
Pkg Price	8.92
Unit Price	8.9161
Strength	0.1%
Unit Description	BOTT
Max. Reimbursable Quantity / Month	1
Package Description	BOTT
Manufacturer Code	SYP
Manufacturer Name	SYAASH PHARMACEUTICALS
Agent Code	PSB
Agent Name	PHARMACEUTICAL SOLUTIONS BARBA
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	AS PRESCR
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	5208
Therapeutic Desc	EENT ANTI-INFLAMMATORY AGENTS
Status Description
Default Route	OPHTHALMIC
Max Repeats	3
Therapeutic Head	EENT ANTI-INFLAMMATORY AGENTS
Amend Date