Drugs available on Contract - [TOBRAMYCIN 40MG/ML INJ (DIL) (BQ)], []

Contract Number	41
Brand Code	5422G
Brand Name	TOBRAMYCIN 40MG/ML INJ (DIL) (BQ)
Active Ingredient	TOBRAMYCIN
Trade Name	TOBRAMYCIN
Package Size	25X2ML
Formulary Category	BQ
Pkg Price	482.39
Unit Price	19.2958
Strength	40MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	DIL
Manufacturer Name	FRESENIUS KABI
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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
Therapeutic Code	081202
Therapeutic Desc	AMINOGLYCOSIDES
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	AMINOGLYCOSIDES
Amend Date