Drugs available on Contract - [PAXIL 20MG TAB (GSK) PAROXETINE (C)], []

Contract Number	41
Brand Code	A3223
Brand Name	PAXIL 20MG TAB (GSK) PAROXETINE (C)
Active Ingredient	PAROXETINE
Trade Name	PAXIL
Package Size	30'S
Formulary Category	C
Pkg Price	100.5
Unit Price	3.3499
Strength	20MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	42
Package Description	BOX
Manufacturer Code	GSK
Manufacturer Name	GLAXOSMITHKLINE
Agent Code	COL
Agent Name	COLLINS 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	1 OD
SIGFactor	1
Dentist Allowed	N
Therapeutic Code	28160420
Therapeutic Desc	SELECTIVE SEROTONIN REUPTAKE INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	SELECTIVE SEROTONIN REUPTAKE INHIBITORS
Amend Date