Drugs available on Contract - [BRIMONIDINE 0.1% EYE DR (FSB) ], []

Contract Number	41
Brand Code	A492B
Brand Name	BRIMONIDINE 0.1% EYE DR (FSB)
Active Ingredient	BRIMONIDINE
Trade Name	BRIMONIDINE
Package Size	10ML
Formulary Category	A
Pkg Price	6.85
Unit Price	6.8502
Strength	0.1%
Unit Description	BOTT
Max. Reimbursable Quantity / Month	1
Package Description	BOTT
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit	B
Benefit Cat Code	Anti-Glaucoma
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	524004
Therapeutic Desc	EENT ALPHA ADRENERGIC AGONISTS
Status Description
Default Route	OPHTHALMIC
Max Repeats	6
Therapeutic Head	EENT ALPHA ADRENERGIC AGONISTS
Amend Date