Drugs available on Contract - [GLYCERINE & MAG SULPH PASTE (HAL)], []

Contract Number	42
Brand Code	9991AZ
Brand Name	GLYCERINE & MAG SULPH PASTE (HAL)
Active Ingredient	GLYCERINE & MAG SULPH PASTE
Trade Name	GLYCERINE & MAG SULPH PASTE
Package Size	50G
Formulary Category	B
Pkg Price	7.39
Unit Price	7.39
Strength
Unit Description	JAR
Max. Reimbursable Quantity / Month	1
Package Description	BOX
Manufacturer Code	HAL
Manufacturer Name	HALEWOOD CHEMICALS LTD.
Agent Code	COL
Agent Name	AVENTA BARBADOS
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	8424
Therapeutic Desc	EMOLLIENTS, DEMULCENTS AND PROTECTANTS
Status Description
Default Route	TOPICAL
Max Repeats	0
Therapeutic Head	EMOLLIENTS, DEMULCENTS AND PROTECTANTS
Amend Date