Drugs available on Contract - [EFAVIRENZ 600MG TAB (MCP) (BL)], []

Contract Number	41
Brand Code	B031AN
Brand Name	EFAVIRENZ 600MG TAB (MCP) (BL)
Active Ingredient	EFAVIRENZ
Trade Name	EFAVIRENZ
Package Size	30'S
Formulary Category	BL
Pkg Price	8.43
Unit Price	0.2809
Strength	600MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	BOX
Manufacturer Code	MCP
Manufacturer Name	MACLEODS PHARMACEUTICALS LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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
SIGFactor
Dentist Allowed	N
Therapeutic Code	08180816
Therapeutic Desc	NNRTI
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	NNRTI
Amend Date