Drugs available on Contract - [UREA|GLYCERINE 10%|5% CR (CAR)], []

Contract Number	42
Brand Code	9991BS
Brand Name	UREA\|GLYCERINE 10%\|5% CR (CAR)
Active Ingredient	UREA\|GLYCERINE
Trade Name	UREA\|GLYCERINE
Package Size	100G
Formulary Category	B
Pkg Price	14.95
Unit Price	0.15
Strength	10%\|5%
Unit Description	GRAM
Max. Reimbursable Quantity / Month	2
Package Description	Tube
Manufacturer Code	CAR
Manufacturer Name	CARLISLE LABORATORIES 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	6
Therapeutic Head	EMOLLIENTS, DEMULCENTS AND PROTECTANTS
Amend Date