Drugs available on Contract - [NORGESIC 35MG|500MG TAB (PMA) ORPHENADRINE|PARACETAMOL (C)], []

Contract Number	41
Brand Code	7911R
Brand Name	NORGESIC 35MG\|500MG TAB (PMA) ORPHENADRINE\|PARACETAMOL (C)
Active Ingredient	ORPHENADRINE\|PARACETAMOL
Trade Name	NORGESIC
Package Size	10'S
Formulary Category	C
Pkg Price	8.15
Unit Price	0.8155
Strength	35MG\|500MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	PMA
Manufacturer Name	MORE PHARMA CORPORATION
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed
Therapeutic Code	122092
Therapeutic Desc	SKELETAL MUSCLE RELAXANTS, MISCELLANEOUS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	SKELETAL MUSCLE RELAXANTS, MISCELLANEOUS
Amend Date