Drugs available on Contract - [LEVOFLOXACIN 500MG INJ (BAX/STO) ], []

Contract Number	40
Brand Code	6712BW
Brand Name	LEVOFLOXACIN 500MG INJ (BAX/STO)
Active Ingredient	LEVOFLOXACIN
Trade Name	LEVOFLOXACIN
Package Size	100ML
Formulary Category	BQ
Pkg Price	12.07
Unit Price	12.07
Strength	500MG
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	BAX
Manufacturer Name	BAXTER EXPORT CORP.
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	0
Dentist Allowed	Yes
Therapeutic Code	081218
Therapeutic Desc	QUINOLONES
Status Description
Default Route	IV
Max Repeats	6
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date