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

Contract Number	41
Brand Code	4291V
Brand Name	VANCOMYCIN 500MG INJ (FSB) (BQ)
Active Ingredient	VANCOMYCIN
Trade Name	VANCOMYCIN
Package Size	500MG VIAL
Formulary Category	BQ
Pkg Price	4.13
Unit Price	4.1319
Strength	500MG
Unit Description	VIAL
Max. Reimbursable Quantity / Month	56
Package Description	VIAL
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS 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	N
Therapeutic Code	08122816
Therapeutic Desc	GLYCOPEPTIDES
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	GLYCOPEPTIDES
Amend Date