Drugs available on Contract - [CARBOPLATIN 450MG INJ (FSB/ATB)], []

Contract Number	40
Brand Code	7093L
Brand Name	CARBOPLATIN 450MG INJ (FSB/ATB)
Active Ingredient	CARBOPLATIN
Trade Name	CARBOPLATIN
Package Size	450MG VIAL
Formulary Category	BQ
Pkg Price	76.11
Unit Price	76.11
Strength	450MG
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit
Benefit Cat Code	Anti-Neoplastic
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	No
Therapeutic Code	1000
Therapeutic Desc	ANTINEOPLASTICS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ANTINEOPLASTICS
Amend Date