Drugs available on Contract - [TOPIRAMATE 100MG TAB (CIP) (BP)], []

Contract Number	41
Brand Code	7283G
Brand Name	TOPIRAMATE 100MG TAB (CIP) (BP)
Active Ingredient	TOPIRAMATE
Trade Name	TOPIRAMATE
Package Size	60'S
Formulary Category	BP
Pkg Price	9.49
Unit Price	0.1581
Strength	100MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	120
Package Description	BOX
Manufacturer Code	CIP
Manufacturer Name	CIPLA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code	Anti-Epileptic
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2025-03-10
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	281292
Therapeutic Desc	ANTICONVULSANTS MISCELLANEOUS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	ANTICONVULSANTS MISCELLANEOUS
Amend Date	2025-01-27