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

Contract Number	41
Brand Code	A101U
Brand Name	LABETALOL 5MG/ML INJ (FSB) (B)
Active Ingredient	LABETALOL
Trade Name	LABETALOL
Package Size	20ML VIAL
Formulary Category	B
Pkg Price	4.95
Unit Price	4.9473
Strength	5MG/ML
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
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	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