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

Contract Number	41
Brand Code	6631L
Brand Name	PROPOFOL 10MG/ML INJ (KWA) (BQ)
Active Ingredient	PROPOFOL
Trade Name	PROPOFOL
Package Size	20ML
Formulary Category	BQ
Pkg Price	3.56
Unit Price	3.561
Strength	10MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	30
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	280492
Therapeutic Desc	GENERAL ANAESTHETICS MISCELLANEOUS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	GENERAL ANAESTHETICS MISCELLANEOUS
Amend Date