Drugs available on Contract - [PAXIL 25MG CR TAB (GSK) PAROXETINE], []

Contract Number	41
Brand Code	A322AQ
Brand Name	PAXIL 25MG CR TAB (GSK) PAROXETINE
Active Ingredient	PAROXETINE
Trade Name	PAXIL
Package Size	30'S
Formulary Category	BP
Pkg Price	96.88
Unit Price	3.2294
Strength	25MG
Unit Description	TABCR
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