Drugs available on Contract - [ACARBOSE 100MG TAB (LDP/AHI) ], []

Contract Number	40
Brand Code	5882G
Brand Name	ACARBOSE 100MG TAB (LDP/AHI)
Active Ingredient	ACARBOSE
Trade Name	ACARBOSE
Package Size	84'S
Formulary Category	C
Pkg Price	24.06
Unit Price	0.29
Strength	100MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	0
Package Description	TAB
Manufacturer Code	LDP
Manufacturer Name	LABDHI PHARMA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code	Anti-Diabetic
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor
Dentist Allowed	No
Therapeutic Code	682002
Therapeutic Desc	ALPHA GLUCOSIDASE INHIBITORS
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	HORMONES AND SYNTHETIC SUBSTITUTES
Amend Date