Drugs available on Contract - [ALCOHOL SMALL (WIR) ALCOHOL], []

Contract Number	41
Brand Code	91331
Brand Name	ALCOHOL SMALL (WIR) ALCOHOL
Active Ingredient	ALCOHOL
Trade Name	ALCOHOL
Package Size	1 LITRE
Formulary Category	B
Pkg Price	7.26
Unit Price	0.0073
Strength
Unit Description	ML
Max. Reimbursable Quantity / Month	1000
Package Description	BOTT
Manufacturer Code	WIR
Manufacturer Name	WEST INDIES RUM DISTILLERY LTD.
Agent Code	WIR
Agent Name	WEST INDIES RUM DISTILLERY LTD
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	N
Therapeutic Code	9200
Therapeutic Desc	UNCLASSIFIED THERAPEUTIC AGENTS
Status Description
Default Route	TOPICAL
Max Repeats	6
Therapeutic Head	UNCLASSIFIED THERAPEUTIC AGENTS
Amend Date