Drugs available on Contract - [DROPSTAR 0.4% EYE DR (LPO) SOD. HYALURON (C)], []

Contract Number	41
Brand Code	4701F
Brand Name	DROPSTAR 0.4% EYE DR (LPO) SOD. HYALURON (C)
Active Ingredient	SODIUM HYALURONATE
Trade Name	DROPSTAR
Package Size	10ML
Formulary Category	C
Pkg Price	8.37
Unit Price	8.3724
Strength	0.4%
Unit Description	BOTT
Max. Reimbursable Quantity / Month	1
Package Description	BOTT
Manufacturer Code	LPO
Manufacturer Name	LABORATORIOS POEN S.A.
Agent Code	COL
Agent Name	COLLINS 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
Dentist Allowed	N
Therapeutic Code	5292
Therapeutic Desc	EENT DRUGS MISCELLANEOPUS
Status Description
Default Route	OPHTHALMIC
Max Repeats	6
Therapeutic Head	EENT DRUGS MISCELLANEOPUS
Amend Date