Drugs available on Contract - [LORAZEPAM 2MG/ML INJ (KWA/ATB)], []

Contract Number	40
Brand Code	4622S
Brand Name	LORAZEPAM 2MG/ML INJ (KWA/ATB)
Active Ingredient	LORAZEPAM
Trade Name	LORAZEPAM
Package Size	10X1ML
Formulary Category	B
Pkg Price	38.19
Unit Price	3.82
Strength	2MG/ML
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	No
Therapeutic Code	282408
Therapeutic Desc	BENZODIAZEPINES (SEDATIVES)
Status Description
Default Route	IM
Max Repeats	0
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date	2022-03-30