Drugs available on Contract - [REMICADE 100MG INJ (JAC) INFLIXIMAB (C)], []

Contract Number	41
Brand Code	41817
Brand Name	REMICADE 100MG INJ (JAC) INFLIXIMAB (C)
Active Ingredient	INFLIXIMAB
Trade Name	REMICADE
Package Size	20ML VIAL
Formulary Category	C
Pkg Price	1460.17
Unit Price	1460.1749
Strength	100MG
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	JAC
Manufacturer Name	JANSSEN-CILAG
Agent Code	STO
Agent Name	BRYDEN STOKES 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
Therapeutic Code	9236
Therapeutic Desc	DISEASE MODIFYING ANTIRHEUMATIC AGENTS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	DISEASE MODIFYING ANTIRHEUMATIC AGENTS
Amend Date