Drugs available on Contract - [ZOVIRAX 5% CR (GSK/COL) ACYCLOVIR], []

Contract Number	40
Brand Code	56944
Brand Name	ZOVIRAX 5% CR (GSK/COL) ACYCLOVIR
Active Ingredient	ACYCLOVIR
Trade Name	ZOVIRAX
Package Size	5G
Formulary Category	C
Pkg Price	20.93
Unit Price	20.93
Strength	5%
Unit Description	CREAM
Max. Reimbursable Quantity / Month	0
Package Description	TUBE
Manufacturer Code	GSK
Manufacturer Name	GLAXOSMITHKLINE
Agent Code	COL
Agent Name	COLLINS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	No
Therapeutic Code	081832
Therapeutic Desc	NUCLEOSIDES AND NUCLEOTIDES
Status Description
Default Route	TOPICAL
Max Repeats	0
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date