Drugs available on Contract - [PANTOPRAZOLE 40MG INJ (FSB) (B)], []

Contract Number	41
Brand Code	B042AN
Brand Name	PANTOPRAZOLE 40MG INJ (FSB) (B)
Active Ingredient	PANTOPRAZOLE
Trade Name	PANTOPRAZOLE
Package Size	40MG VIAL
Formulary Category	B
Pkg Price	1.14
Unit Price	1.1417
Strength	40MG
Unit Description	VIAL
Max. Reimbursable Quantity / Month	7
Package Description	VIAL
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS 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
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	562836
Therapeutic Desc	PROTON PUMP INHIBITORS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	PROTON PUMP INHIBITORS
Amend Date