Drugs available on Contract - [CEFTAZIDIME 1G INJ (SLS) (B)], []

Contract Number	41
Brand Code	5641RV
Brand Name	CEFTAZIDIME 1G INJ (SLS) (B)
Active Ingredient	CEFTAZIDIME
Trade Name	CEFTAZIDIME
Package Size	1G VIAL
Formulary Category	B
Pkg Price	5.36
Unit Price	5.3551
Strength	1G
Unit Description	VIAL
Max. Reimbursable Quantity / Month	28
Package Description	VIAL
Manufacturer Code	SLS
Manufacturer Name	SAMARTH LIFE SCIENCES
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code	15
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
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
Max Repeats	0
Therapeutic Head	THIRD GEN CEPHALOSPORINS
Amend Date