Drugs available on Contract - [BICALUTAMIDE 150MG TAB (CIP/AHI) ], []

Contract Number	40
Brand Code	7151R
Brand Name	BICALUTAMIDE 150MG TAB (CIP/AHI)
Active Ingredient	BICALUTAMIDE
Trade Name	BICALUTAMIDE
Package Size	30'S
Formulary Category	C
Pkg Price	93.24
Unit Price	3.11
Strength	150MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	0
Package Description	TAB
Manufacturer Code	CIP
Manufacturer Name	CIPLA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE 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
SIGFactor	30
Dentist Allowed	No
Therapeutic Code	1000
Therapeutic Desc	ANTINEOPLASTICS
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	ANTINEOPLASTICS
Amend Date