Drugs available on Contract - [GOTABIOTIC 0.3% EYE DR (LPO/COL) TOBRAMY], []

Contract Number	40
Brand Code	5281P
Brand Name	GOTABIOTIC 0.3% EYE DR (LPO/COL) TOBRAMY
Active Ingredient	TOBRAMYCIN
Trade Name	GOTABIOTIC
Package Size	5ML
Formulary Category	BH
Pkg Price	7.34
Unit Price	7.34
Strength	0.3%
Unit Description	EYE DROP
Max. Reimbursable Quantity / Month	0
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	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor
Dentist Allowed	No
Therapeutic Code	520404
Therapeutic Desc	EENT ANTIBACTERIALS
Status Description
Default Route	Ophthalmic
Max Repeats	6
Therapeutic Head	EYE, EAR, NOSE AND THROAT PREPARATIONS
Amend Date