Drugs available on Contract - [PROCOROLAN 5MG TAB (SER) IVABRADINE], []

Contract Number	42
Brand Code	59319
Brand Name	PROCOROLAN 5MG TAB (SER) IVABRADINE
Active Ingredient	IVABRADINE
Trade Name	PROCOROLAN
Package Size	56'S
Formulary Category	C
Pkg Price	109.09
Unit Price	1.95
Strength	5MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	0
Package Description	BLIS
Manufacturer Code	SER
Manufacturer Name	LES LABORATOIRES SERVIER
Agent Code	COL
Agent Name	AVENTA BARBADOS
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor
Dentist Allowed	N
Therapeutic Code	240492
Therapeutic Desc	CARDIAC DRUGS MISCELLANEOUS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	CARDIAC DRUGS MISCELLANEOUS
Amend Date