Drugs available on Contract - [HYDROXYCOBALAMINE 1MG/ML INJ (KWA) ], []

Contract Number	41
Brand Code	4811M
Brand Name	HYDROXYCOBALAMINE 1MG/ML INJ (KWA)
Active Ingredient	HYDROXYCOBALAMINE
Trade Name	HYDROXYCOBALAMINE
Package Size	10X1ML
Formulary Category	B
Pkg Price	67.9309
Unit Price	6.7931
Strength	1MG/ML
Unit Description	AMPP
Max. Reimbursable Quantity / Month	3
Package Description	BOX
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS 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	8808
Therapeutic Desc	VITAMIN B COMPLEX
Status Description
Default Route	IM
Max Repeats	0
Therapeutic Head	VITAMIN B COMPLEX
Amend Date