Drugs available on Contract - [PMS-RIZATRIPTAN 10MG TAB (PMS) ], []

Contract Number	41
Brand Code	A661BA
Brand Name	PMS-RIZATRIPTAN 10MG TAB (PMS)
Active Ingredient	RIZATRIPTAN
Trade Name	PMS-RIZATRIPTAN
Package Size	6'S
Formulary Category	A
Pkg Price	21.2
Unit Price	3.5338
Strength	10MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	14
Package Description	BOTT
Manufacturer Code	PMS
Manufacturer Name	PHARMASCIENCE
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	10MG AT F
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	283228
Therapeutic Desc	SELECTIVE SEROTONIN AGONIST
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	SELECTIVE SEROTONIN AGONIST
Amend Date