Drugs available on Contract - [FLUDARABINE 50MG INJ (KWA)], []

Contract Number	42
Brand Code	A061F
Brand Name	FLUDARABINE 50MG INJ (KWA)
Active Ingredient	FLUDARABINE
Trade Name	FLUDARABINE
Package Size	50MG VIAL
Formulary Category	BQ
Pkg Price	626.93
Unit Price	626.93
Strength	50MG
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	STO
Agent Name	BRYDEN STOKES LTD
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	1000
Therapeutic Desc	ANTINEOPLASTICS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	ANTINEOPLASTICS
Amend Date	2026-03-02