Drugs available on Contract - [CYCLID 5MG TAB (INC) PROCYCLIDINE], []

Contract Number	41
Brand Code	4442G
Brand Name	CYCLID 5MG TAB (INC) PROCYCLIDINE
Active Ingredient	PROCYCLIDINE
Trade Name	CYCLID
Package Size	10X10
Formulary Category	A
Pkg Price	3.29
Unit Price	0.0329
Strength	5MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	240
Package Description	BOX
Manufacturer Code	INC
Manufacturer Name	INCEPTA PHARMACEUTICALS LIMITED
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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	283608
Therapeutic Desc	ANTICHOLINERGIC AGENTS (PARKINSONS)
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	ANTICHOLINERGIC AGENTS (PARKINSONS)
Amend Date