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

Contract Number	41
Brand Code	A101T
Brand Name	LABETALOL 5MG/ML INJ (LDP) (B)
Active Ingredient	LABETALOL
Trade Name	LABETALOL
Package Size	20ML
Formulary Category	B
Pkg Price	7.09
Unit Price	7.0948
Strength	5MG/ML
Unit Description	AMP
Max. Reimbursable Quantity / Month	0
Package Description	AMP
Manufacturer Code	LDP
Manufacturer Name	LABDHI PHARMA
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor
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