Drugs available on Contract - [ELEQUINE 500MG TAB (JAC/STO) LEVOFLOXACIN], []

Contract Number	40
Brand Code	6711CR
Brand Name	ELEQUINE 500MG TAB (JAC/STO) LEVOFLOXACIN
Active Ingredient	LEVOFLOXACIN
Trade Name	ELEQUINE
Package Size	24'S
Formulary Category	C
Pkg Price	190.15
Unit Price	7.92
Strength	500MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	0
Package Description	TAB
Manufacturer Code	JAC
Manufacturer Name	JANSSEN-CILAG
Agent Code	STO
Agent Name	BRYDEN STOKES LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	24
Dentist Allowed	Yes
Therapeutic Code	081218
Therapeutic Desc	QUINOLONES
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date