Drugs available on Contract - [DACARBAZINE 200MG INJ (CIP/AHI) ], []

Contract Number	40
Brand Code	4981D
Brand Name	DACARBAZINE 200MG INJ (CIP/AHI)
Active Ingredient	DACARBAZINE
Trade Name	DACARBAZINE
Package Size	200MG VIAL
Formulary Category	BQ
Pkg Price	23.02
Unit Price	23.02
Strength	200MG
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	CIP
Manufacturer Name	CIPLA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code	Anti-Neoplastic
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	1000
Therapeutic Desc	ANTINEOPLASTICS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ANTINEOPLASTICS
Amend Date