Drugs available on Contract - [CIPROFLOXACIN 500MG TAB (HEA/RXP)], []

Contract Number	40
Brand Code	6711CY
Brand Name	CIPROFLOXACIN 500MG TAB (HEA/RXP)
Active Ingredient	CIPROFLOXACIN
Trade Name	CIPROFLOXACIN
Package Size	10X10
Formulary Category	A
Pkg Price	14.81
Unit Price	0.15
Strength	500MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	14
Package Description	TAB
Manufacturer Code	HEA
Manufacturer Name	HEALTH 2000 INC
Agent Code	RXP
Agent Name	RX PRO INC
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	500MG BD
SIGFactor	2
Dentist Allowed	Yes
Therapeutic Code	081218
Therapeutic Desc	QUINOLONES
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date