Drugs available on Contract - [CARDIZINE 20MG TAB (AUR) TRIMETAZID], []

Contract Number	41
Brand Code	7351M
Brand Name	CARDIZINE 20MG TAB (AUR) TRIMETAZID
Active Ingredient	TRIMETAZIDINE
Trade Name	CARDIZINE
Package Size	60'S
Formulary Category	A
Pkg Price	6.39
Unit Price	0.1065
Strength	20MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	90
Package Description	BOX
Manufacturer Code	AUR
Manufacturer Name	AUROCHEM LABORATORIES
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-07-17
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor
Dentist Allowed	N
Therapeutic Code	240404
Therapeutic Desc	ANTIARRHYTHMIC AGENTS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	ANTIARRHYTHMIC AGENTS
Amend Date	2024-06-05