Drugs available on Contract - [ELECTROLYTES SOLN (BAX) ], []

Contract Number	41
Brand Code	A1813
Brand Name	ELECTROLYTES SOLN (BAX)
Active Ingredient	ELECTROLYTES
Trade Name	ELECTROLYTES
Package Size	1 LITRE
Formulary Category	BQ
Pkg Price	16.26
Unit Price	16.2556
Strength
Unit Description	BOTT
Max. Reimbursable Quantity / Month	50
Package Description	BOTT
Manufacturer Code	BAX
Manufacturer Name	BAXTER EXPORT CORP.
Agent Code	STO
Agent Name	BRYDEN STOKES 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	4012
Therapeutic Desc	REPLACEMENT THERAPY
Status Description
Default Route	IV
Max Repeats	6
Therapeutic Head	REPLACEMENT THERAPY
Amend Date