Drugs available on Contract - [VANCOQURE 1G INJ (FSB) VANCOMYCIN], []

Contract Number	42
Brand Code	4293J
Brand Name	VANCOQURE 1G INJ (FSB) VANCOMYCIN
Active Ingredient	VANCOMYCIN
Trade Name	VANCOQURE
Package Size	10ML
Formulary Category	BQ
Pkg Price	5.03
Unit Price	5.03
Strength	1G
Unit Description	VIAL
Max. Reimbursable Quantity / Month	28
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	08122816
Therapeutic Desc	GLYCOPEPTIDES
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	GLYCOPEPTIDES
Amend Date	2026-03-09