Drugs available on Contract - [STAFEN 1MG TAB (ARP/AHI) KETOTIFEN], []

Contract Number	40
Brand Code	57618
Brand Name	STAFEN 1MG TAB (ARP/AHI) KETOTIFEN
Active Ingredient	KETOTIFEN
Trade Name	STAFEN
Package Size	10X10
Formulary Category	A
Pkg Price	14.84
Unit Price	0.15
Strength	1MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	60
Package Description	TAB
Manufacturer Code	ARP
Manufacturer Name	ARISTOPHARMA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit	B
Benefit Cat Code	Anti-Asthmatic
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor
Dentist Allowed	No
Therapeutic Code	481032
Therapeutic Desc	MAST CELL STABILISERS
Status Description
Default Route	Oral
Max Repeats	6
Therapeutic Head	RESPIRATORY TRACT AGENTS
Amend Date