Drugs available on Contract - [BITOD LS 0.01% EYE DR (SYP) BIMATOPROST], []

Contract Number	42
Brand Code	A531BH
Brand Name	BITOD LS 0.01% EYE DR (SYP) BIMATOPROST
Active Ingredient	BIMATOPROST
Trade Name	BITOD LS
Package Size	3ML
Formulary Category	A
Pkg Price	8.54
Unit Price	8.54
Strength	0.01%
Unit Description	BOTT
Max. Reimbursable Quantity / Month	1
Package Description	BOTT
Manufacturer Code	SYP
Manufacturer Name	SYAASH PHARMACEUTICALS
Agent Code	PSB
Agent Name	PHARMACEUTICAL SOLUTIONS BARBA
Benefit	B
Benefit Cat Code	Anti-Glaucoma
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	524028
Therapeutic Desc	EENT PROSTAGLANDIN ANALOGS
Status Description
Default Route	OPHTHALMIC
Max Repeats	6
Therapeutic Head	EENT PROSTAGLANDIN ANALOGS
Amend Date