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

Contract Number	41
Brand Code	7111S
Brand Name	CISPLATIN 1MG/ML INJ (FSB) (BQ)
Active Ingredient	CISPLATIN
Trade Name	CISPLATIN
Package Size	50ML VIAL
Formulary Category	BQ
Pkg Price	15.01
Unit Price	15.0051
Strength	1MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	50
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	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
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