Drugs available on Contract - [BURETROL ADD ON CLEARLINK SET (BAX) ADM], []

Contract Number	42
Brand Code	4366R
Brand Name	BURETROL ADD ON CLEARLINK SET (BAX) ADM
Active Ingredient	ADMIN SET PAED
Trade Name	BURETROL ADD ON CLEARLINK
Package Size	SET
Formulary Category	B
Pkg Price	18.65
Unit Price	18.65
Strength
Unit Description	SET
Max. Reimbursable Quantity / Month	10
Package Description	BAG
Manufacturer Code	BAX
Manufacturer Name	BAXTER EXPORT CORP.
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	9400
Therapeutic Desc	MEDICAL DEVICES
Status Description
Default Route
Max Repeats	0
Therapeutic Head	MEDICAL DEVICES
Amend Date