Drugs available on Contract - [MOBIC 15MG TAB (BOE/STO) MELOXICAM], []

Contract Number	40
Brand Code	A8317
Brand Name	MOBIC 15MG TAB (BOE/STO) MELOXICAM
Active Ingredient	MELOXICAM
Trade Name	MOBIC
Package Size	30'S
Formulary Category	C
Pkg Price	41.59
Unit Price	1.39
Strength	15MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	0
Package Description	TAB
Manufacturer Code	BOE
Manufacturer Name	BOEHRINGER INGELHEIM
Agent Code	STO
Agent Name	BRYDEN STOKES LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode	1 OD
SIGFactor	1
Dentist Allowed	Yes
Therapeutic Code	28080408
Therapeutic Desc	CYCLOOXYGENASE-2 (COX2) INHIBITORS
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date