Drugs available on Contract - [SEFTAQUICK 1G INJ (JLP) CEFTAZIDIME], []

Contract Number	42
Brand Code	5641FX
Brand Name	SEFTAQUICK 1G INJ (JLP) CEFTAZIDIME
Active Ingredient	CEFTAZIDIME
Trade Name	SEFTAQUICK
Package Size	20X1G
Formulary Category	B
Pkg Price	43.49
Unit Price	2.17
Strength	1G
Unit Description	VIAL
Max. Reimbursable Quantity / Month	28
Package Description	VIAL
Manufacturer Code	JLP
Manufacturer Name	JOHN LEE PHARMACEUTICALS
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code	15
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	08120608
Therapeutic Desc	SECOND GEN CEPHALOSPORINS
Status Description
Default Route	IV/IM
Max Repeats	0
Therapeutic Head	SECOND GEN CEPHALOSPORINS
Amend Date