Drugs available on Contract - [CEFTRIAXONE 1G IV/IM INJ (MCP) (B)], []

Contract Number	41
Brand Code	5641FJ
Brand Name	CEFTRIAXONE 1G IV/IM INJ (MCP) (B)
Active Ingredient	CEFTRIAXONE
Trade Name	CEFTRIAXONE
Package Size	1G VIAL
Formulary Category	B
Pkg Price	1.3
Unit Price	1.3048
Strength	1G IV/IM
Unit Description	VIAL
Max. Reimbursable Quantity / Month	28
Package Description	VIAL
Manufacturer Code	MCP
Manufacturer Name	MACLEODS PHARMACEUTICALS LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code	15
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-12-27
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	08120612
Therapeutic Desc	THIRD GEN CEPHALOSPORINS
Status Description
Default Route	IV/IM
Max Repeats	0
Therapeutic Head	THIRD GEN CEPHALOSPORINS
Amend Date