Drugs available on Contract - [FERASIRO 125MG TAB (MSN/ATB)], []

Contract Number	40
Brand Code	60013
Brand Name	FERASIRO 125MG TAB (MSN/ATB)
Active Ingredient	DEFERASIROX
Trade Name	FERASIRO
Package Size	28'S
Formulary Category	C
Pkg Price	200.07
Unit Price	7.15
Strength	125MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	0
Package Description	TAB
Manufacturer Code	MSN
Manufacturer Name	MSN LABS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	No
Therapeutic Code	6400
Therapeutic Desc	HEAVY METAL ANTAGONISTS
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	HEAVY METAL ANTAGONISTS
Amend Date