Drugs available on Contract - [FLUDARABINE 50MG INJ (INP/AHI) ], []

Contract Number	40
Brand Code	A061C
Brand Name	FLUDARABINE 50MG INJ (INP/AHI)
Active Ingredient	FLUDARABINE
Trade Name	FLUDARABINE
Package Size	50MG VIAL
Formulary Category	BQ
Pkg Price	134.61
Unit Price	134.61
Strength	50MG
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	INP
Manufacturer Name	INTAS PHARMACEUTICALS 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	0
Dentist Allowed	No
Therapeutic Code	1000
Therapeutic Desc	ANTINEOPLASTICS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ANTINEOPLASTICS
Amend Date