Drugs available on Contract - [MENTHOL (GNT/AHI) ], []

Contract Number	40
Brand Code	90542
Brand Name	MENTHOL (GNT/AHI)
Active Ingredient	MENTHOL
Trade Name	MENTHOL
Package Size	25KG
Formulary Category	B
Pkg Price	5,861.39
Unit Price	234.46
Strength
Unit Description
Max. Reimbursable Quantity / Month	0
Package Description	KG
Manufacturer Code	GNT
Manufacturer Name	GENETHICS LTD
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	9900
Therapeutic Desc	BULK DRUGS
Status Description
Default Route	TOPICAL
Max Repeats	0
Therapeutic Head	BULK DRUGS
Amend Date