Drugs available on Contract - [TERBINAFINE 1% LOTION (AUR/AHI)], []

Contract Number	40
Brand Code	5232BF
Brand Name	TERBINAFINE 1% LOTION (AUR/AHI)
Active Ingredient	TERBINAFINE
Trade Name	TERBINAFINE
Package Size	30ML
Formulary Category	C
Pkg Price	5.08
Unit Price	5.08
Strength	1%
Unit Description	LOTION
Max. Reimbursable Quantity / Month	0
Package Description	BOTT
Manufacturer Code	AUR
Manufacturer Name	AUROCHEM LABORATORIES
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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	840408
Therapeutic Desc	ANTIFUNGALS TOPICAL
Status Description
Default Route	TOPICAL
Max Repeats	0
Therapeutic Head	SKIN-MUCOUS MEMBRANE PREPARATIONS
Amend Date