Drugs available on Contract - [GABAPENTIN 300MG CAP (FSB)], []

Contract Number	42
Brand Code	A231AE
Brand Name	GABAPENTIN 300MG CAP (FSB)
Active Ingredient	GABAPENTIN
Trade Name	GABAPENTIN
Package Size	100'S
Formulary Category	A
Pkg Price	7.04
Unit Price	0.07
Strength	300MG
Unit Description	CAP
Max. Reimbursable Quantity / Month	180
Package Description
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	STO
Agent Name	BRYDEN STOKES LTD
Benefit	B
Benefit Cat Code	Anti-Epileptic
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	281292
Therapeutic Desc	ANTICONVULSANTS MISCELLANEOUS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	ANTICONVULSANTS MISCELLANEOUS
Amend Date	2026-03-05