Drugs available on Contract - [FLUPHENAZINE 25MG/ML INJ (LDP)], []

Contract Number	42
Brand Code	7472A
Brand Name	FLUPHENAZINE 25MG/ML INJ (LDP)
Active Ingredient	FLUPHENAZINE
Trade Name	FLUPHENAZINE
Package Size	10ML VIAL
Formulary Category	B
Pkg Price	7.18
Unit Price	7.18
Strength	25MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	3
Package Description	VIAL
Manufacturer Code	LDP
Manufacturer Name	LABDHI PHARMA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	28160824
Therapeutic Desc	PHENOTHIAZINES
Status Description
Default Route	IM
Max Repeats	6
Therapeutic Head	PHENOTHIAZINES
Amend Date