Drugs available on Contract - [VENTED PACLITAXEL (2C7557) SET (BAX) AD (B)], []

Contract Number	41
Brand Code	43683
Brand Name	VENTED PACLITAXEL (2C7557) SET (BAX) AD (B)
Active Ingredient	ADMIN SET
Trade Name	VENTED PACLITAXEL (2C7557)
Package Size	SET
Formulary Category	B
Pkg Price	18.51
Unit Price	18.5118
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	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
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