Drugs available on Contract - [EFAVIRENZ 600MG TAB (MAT/AHI) ], []

Contract Number	40
Brand Code	B031V
Brand Name	EFAVIRENZ 600MG TAB (MAT/AHI)
Active Ingredient	EFAVIRENZ
Trade Name	EFAVIRENZ
Package Size	30'S
Formulary Category	BL
Pkg Price	14.68
Unit Price	0.49
Strength	600MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	0
Package Description	TAB
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	30
Dentist Allowed	No
Therapeutic Code	08180816
Therapeutic Desc	NNRTI
Status Description
Default Route	Oral
Max Repeats	0
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date