Drugs available on Contract - [CANDID V3 200MG PESS (GLP) CLOTRIMAZOLE], []

Contract Number	42
Brand Code	5561DB
Brand Name	CANDID V3 200MG PESS (GLP) CLOTRIMAZOLE
Active Ingredient	CLOTRIMAZOLE
Trade Name	CANDID V3
Package Size	3'S
Formulary Category	A
Pkg Price	3.53
Unit Price	3.53
Strength	200MG
Unit Description	PACK
Max. Reimbursable Quantity / Month	1
Package Description	BLIS
Manufacturer Code	GLP
Manufacturer Name	GLENMARK PHARMACEUTICALS LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	081408
Therapeutic Desc	AZOLES
Status Description
Default Route	VAGINAL
Max Repeats	0
Therapeutic Head	AZOLES
Amend Date