Drugs available on Contract - [TERBINAFINE 250MG TAB (MPI) ], []

Contract Number	41
Brand Code	5861LB
Brand Name	TERBINAFINE 250MG TAB (MPI)
Active Ingredient	TERBINAFINE
Trade Name	TERBINAFINE
Package Size	50'S
Formulary Category	A
Pkg Price	22.97
Unit Price	0.4594
Strength	250MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	28
Package Description	BOX
Manufacturer Code	MPI
Manufacturer Name	MEPRO PHARMACEUTICALS INTERNATIONAL LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-10-29
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	2024-08-20