Drugs available on Contract - [STAMARIL (AVP) YELLOW FEVER], []

Contract Number	41
Brand Code	63416
Brand Name	STAMARIL (AVP) YELLOW FEVER
Active Ingredient	YELLOW FEVER VIRUS
Trade Name	STAMARIL
Package Size	1 DS VIAL
Formulary Category	B
Pkg Price	53.82
Unit Price	53.8228
Strength	1000IU
Unit Description	VIAL
Max. Reimbursable Quantity / Month	20
Package Description	VIAL
Manufacturer Code	AVP
Manufacturer Name	SANOFI PASTEUR
Agent Code	COL
Agent Name	COLLINS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-10-21
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	8012
Therapeutic Desc	VACCINES
Status Description
Default Route	IM
Max Repeats	0
Therapeutic Head	VACCINES
Amend Date	2024-09-09