Drugs available on Contract - [MIDAZOLAM 5MG/ML INJ (KWA) (B)], []

Contract Number	41
Brand Code	6212N
Brand Name	MIDAZOLAM 5MG/ML INJ (KWA) (B)
Active Ingredient	MIDAZOLAM
Trade Name	MIDAZOLAM
Package Size	10ML VIAL
Formulary Category	B
Pkg Price	4.08
Unit Price	4.0775
Strength	5MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
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	282408
Therapeutic Desc	BENZODIAZEPINES (SEDATIVES)
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	BENZODIAZEPINES (SEDATIVES)
Amend Date