Drugs available on Contract - [CISPLATIN 1MG/ML INJ (FSB)], []

Contract Number	42
Brand Code	7111AD
Brand Name	CISPLATIN 1MG/ML INJ (FSB)
Active Ingredient	CISPLATIN
Trade Name	CISPLATIN
Package Size	50MG VIAL
Formulary Category	BQ
Pkg Price	13.89
Unit Price	13.89
Strength	1MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	50
Package Description
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	STO
Agent Name	BRYDEN STOKES LTD
Benefit
Benefit Cat Code	Anti-Neoplastic
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	1000
Therapeutic Desc	ANTINEOPLASTICS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ANTINEOPLASTICS
Amend Date	2026-03-05