Drugs available on Contract - [FLUCONAZOLE 50MG TAB (LDP) ], []

Contract Number	41
Brand Code	5861JG
Brand Name	FLUCONAZOLE 50MG TAB (LDP)
Active Ingredient	FLUCONAZOLE
Trade Name	FLUCONAZOLE
Package Size	100'S
Formulary Category	A
Pkg Price	12.23
Unit Price	0.1223
Strength	50MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	BOTT
Manufacturer Code	LDP
Manufacturer Name	LABDHI PHARMA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
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	081404
Therapeutic Desc	ALLYAMINES
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	ALLYAMINES
Amend Date