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

Contract Number	40
Brand Code	7472T
Brand Name	FLUPHENAZINE 25MG/ML INJ (LDP/AHI)
Active Ingredient	FLUPHENAZINE
Trade Name	FLUPHENAZINE
Package Size	10X10ML
Formulary Category	B
Pkg Price	44.74
Unit Price	4.47
Strength	25MG/ML
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
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	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor
Dentist Allowed	No
Therapeutic Code	28160824
Therapeutic Desc	PHENOTHIAZINES
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date