Drugs available on Contract - [ITRACONAZOLE 100MG TAB (KWA/ATB)], []

Contract Number	40
Brand Code	5861HB
Brand Name	ITRACONAZOLE 100MG TAB (KWA/ATB)
Active Ingredient	ITRACONAZOLE
Trade Name	ITRACONAZOLE
Package Size	10'S
Formulary Category	A
Pkg Price	4.68
Unit Price	0.47
Strength	100MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	60
Package Description	TAB
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS 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	081408
Therapeutic Desc	AZOLES
Status Description
Default Route	Oral
Max Repeats	3
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date