Drugs available on Contract - [ZOLADEX 3.6MG KIT (AZN) GOSERELIN], []

Contract Number	42
Brand Code	6581S
Brand Name	ZOLADEX 3.6MG KIT (AZN) GOSERELIN
Active Ingredient	GOSERELIN
Trade Name	ZOLADEX
Package Size	3.6MG KIT
Formulary Category	BQ
Pkg Price	205.51
Unit Price	205.51
Strength	3.6MG
Unit Description	KIT
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	AZN
Manufacturer Name	ASTRAZENECA AB
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	0
Dentist Allowed	N
Therapeutic Code	1000
Therapeutic Desc	ANTINEOPLASTICS
Status Description
Default Route	IM
Max Repeats	0
Therapeutic Head	ANTINEOPLASTICS
Amend Date