Drugs available on Contract - [LABETALOL 5MG/ML INJ (MON/PHA) ], []

Contract Number	40
Brand Code	A101L
Brand Name	LABETALOL 5MG/ML INJ (MON/PHA)
Active Ingredient	LABETALOL
Trade Name	LABETALOL
Package Size	20ML
Formulary Category	B
Pkg Price	8.67
Unit Price	8.67
Strength	5MG/ML
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	MON
Manufacturer Name	MONTAGE PHARMACEUTICALS
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
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	2424
Therapeutic Desc	BETA ADRENERGIC BLOCKING AGENTS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	CARDIOVASCULAR DRUGS
Amend Date