Drugs available on Contract - [TOPIRAMATE 50MG TAB (CIP/AHI) ], []

Contract Number	40
Brand Code	72849
Brand Name	TOPIRAMATE 50MG TAB (CIP/AHI)
Active Ingredient	TOPIRAMATE
Trade Name	TOPIRAMATE
Package Size	60'S
Formulary Category	BP
Pkg Price	7.04
Unit Price	0.12
Strength	50MG
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	2022-09-30
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	No
Therapeutic Code	281292
Therapeutic Desc	ANTICONVULSANTS MISCELLANEOUS
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date	2022-03-29