Drugs available on Contract - [EMEP 40MG INJ (ARP) ESOMEPRAZOLE (C)], []

Contract Number	41
Brand Code	B042AW
Brand Name	EMEP 40MG INJ (ARP) ESOMEPRAZOLE (C)
Active Ingredient	ESOMEPRAZOLE
Trade Name	EMEP
Package Size	40MG VIAL
Formulary Category	C
Pkg Price	5.44
Unit Price	5.4366
Strength	40MG
Unit Description	VIAL
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	ARP
Manufacturer Name	ARISTOPHARMA 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	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