Drugs available on Contract - [VANCOMYCIN 500MG INJ (FSB)], []

Contract Number	42
Brand Code	4291AP
Brand Name	VANCOMYCIN 500MG INJ (FSB)
Active Ingredient	VANCOMYCIN
Trade Name	VANCOMYCIN
Package Size	500MG VIAL
Formulary Category	BQ
Pkg Price	3.34
Unit Price	3.34
Strength	500MG
Unit Description	VIAL
Max. Reimbursable Quantity / Month	56
Package Description
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	STO
Agent Name	BRYDEN STOKES LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	081228
Therapeutic Desc	ANTIBACTERIALS, MISCELLANEOUS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ANTIBACTERIALS, MISCELLANEOUS
Amend Date	2026-03-05