Drugs available on Contract - [DAFLON 900MG|100MG TAB (SER) DISOMIN|HESPERIDIN], []

Contract Number	42
Brand Code	5851W
Brand Name	DAFLON 900MG\|100MG TAB (SER) DISOMIN\|HESPERIDIN
Active Ingredient	DIOSMIN\|HESPERIDIN
Trade Name	DAFLON
Package Size	30'S
Formulary Category	C
Pkg Price	33.46
Unit Price	1.12
Strength	900MG\|100MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	0
Package Description	BLIS
Manufacturer Code	SER
Manufacturer Name	LES LABORATOIRES SERVIER
Agent Code	COL
Agent Name	AVENTA BARBADOS
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	9300
Therapeutic Desc	VASOACTIVE DRUGS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	VASOACTIVE DRUGS
Amend Date