Drugs available on Contract - [ALPROSTADIL 500MCG/ML INJ (KWA) ], []

Contract Number	41
Brand Code	A1919
Brand Name	ALPROSTADIL 500MCG/ML INJ (KWA)
Active Ingredient	ALPROSTADIL
Trade Name	ALPROSTADIL
Package Size	1ML AMP
Formulary Category	BQ
Pkg Price	485.2208
Unit Price	485.2208
Strength	500MCG/ML
Unit Description	AMP
Max. Reimbursable Quantity / Month	7
Package Description	AMP
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
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	241292
Therapeutic Desc	VASODILATING AGENTS, MISCELLANEOUS
Status Description
Default Route	IV
Max Repeats	6
Therapeutic Head	VASODILATING AGENTS, MISCELLANEOUS
Amend Date