Drugs available on Contract - [VENLAFAXINE 150MG SR TAB (CIP)], []

Contract Number	42
Brand Code	A322BT
Brand Name	VENLAFAXINE 150MG SR TAB (CIP)
Active Ingredient	VENLAFAXINE
Trade Name	VENLAFAXINE
Package Size	100'S
Formulary Category	BP
Pkg Price	128.03
Unit Price	1.28
Strength	150MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	0
Package Description	BLIS
Manufacturer Code	CIP
Manufacturer Name	CIPLA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	100
Dentist Allowed	N
Therapeutic Code	28160416
Therapeutic Desc	SELECTIVE SEROTONIN/NOREPINEPHRINE REUPTAKE INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	SELECTIVE SEROTONIN/NOREPINEPHRINE REUPTAKE
Amend Date