Drugs available on Contract - [YASNAL Q 10MG DISP TAB (KRK) DONEPEZIL], []

Contract Number	42
Brand Code	4464E
Brand Name	YASNAL Q 10MG DISP TAB (KRK) DONEPEZIL
Active Ingredient	DONEPEZIL
Trade Name	YASNAL Q
Package Size	28'S
Formulary Category	C
Pkg Price	47.57
Unit Price	1.70
Strength	10MG
Unit Description	TABDISP
Max. Reimbursable Quantity / Month	0
Package Description	BLIS
Manufacturer Code	KRK
Manufacturer Name	KRKA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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	28
Dentist Allowed	N
Therapeutic Code	1204
Therapeutic Desc	PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS
Amend Date