Drugs available on Contract - [PROPOFOL 10MG/ML INJ (BRA)], []

Contract Number	42
Brand Code	66318
Brand Name	PROPOFOL 10MG/ML INJ (BRA)
Active Ingredient	PROPOFOL
Trade Name	PROPOFOL
Package Size	5X20ML
Formulary Category	BQ
Pkg Price	24.46
Unit Price	4.89
Strength	10MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	30
Package Description	VIAL
Manufacturer Code	BRA
Manufacturer Name	B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE
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	280492
Therapeutic Desc	GENERAL ANAESTHETICS MISCELLANEOUS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	GENERAL ANAESTHETICS MISCELLANEOUS
Amend Date