Drugs available on Contract - [FLUCONAZOLE 100MG TAB (MCP) ], []

Contract Number	41
Brand Code	5861KS
Brand Name	FLUCONAZOLE 100MG TAB (MCP)
Active Ingredient	FLUCONAZOLE
Trade Name	FLUCONAZOLE
Package Size	10X10
Formulary Category	A
Pkg Price	23.3
Unit Price	0.233
Strength	100MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	BOX
Manufacturer Code	MCP
Manufacturer Name	MACLEODS PHARMACEUTICALS LTD
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	081408
Therapeutic Desc	AZOLES
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	AZOLES
Amend Date