Drugs available on Contract - [ABACAVIR 300MG CAP (MAT/AHI) ], []

Contract Number	40
Brand Code	B011EL
Brand Name	ABACAVIR 300MG CAP (MAT/AHI)
Active Ingredient	ABACAVIR
Trade Name	ABACAVIR
Package Size	60'S
Formulary Category	BL
Pkg Price	47.57
Unit Price	0.79
Strength	300MG
Unit Description	CAPSULE
Max. Reimbursable Quantity / Month	0
Package Description	CAP
Manufacturer Code	MAT
Manufacturer Name	MYLAN LABORATORIES
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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
SIGFactor
Dentist Allowed	No
Therapeutic Code	08180820
Therapeutic Desc	NRTI
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date