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

Contract Number	41
Brand Code	A322BT
Brand Name	VENLAFAXINE 150MG SR TAB (CIP) (BP)
Active Ingredient	VENLAFAXINE
Trade Name	VENLAFAXINE
Package Size	100'S
Formulary Category	BP
Pkg Price	125.75
Unit Price	1.2575
Strength	150MG
Unit Description	TABSR
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	CIP
Manufacturer Name	CIPLA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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	100
Dentist Allowed
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