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

Contract Number	42
Brand Code	A101L
Brand Name	LABETALOL 5MG/ML INJ (MON)
Active Ingredient	LABETALOL
Trade Name	LABETALOL
Package Size	20ML
Formulary Category	B
Pkg Price	4.65
Unit Price	4.65
Strength	5MG/ML
Unit Description	VIAL
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	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	2424
Therapeutic Desc	BETA ADRENERGIC BLOCKING AGENTS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	BETA ADRENERGIC BLOCKING AGENTS
Amend Date