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

Contract Number	40
Brand Code	4291V
Brand Name	VANCOMYCIN 500MG INJ (FSB/ATB)
Active Ingredient	VANCOMYCIN
Trade Name	VANCOMYCIN
Package Size	500MG VIAL
Formulary Category	BQ
Pkg Price	4.08
Unit Price	4.08
Strength	500MG
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit
Benefit Cat Code	Anti-Neoplastic
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	No
Therapeutic Code	08122816
Therapeutic Desc	GLYCOPEPTIDES
Status Description
Default Route	IV
Max Repeats	6
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date