Drugs available on Contract - [LEVETIRACETAM 500MG TAB (REM) (B)], []

Contract Number	41
Brand Code	B071F
Brand Name	LEVETIRACETAM 500MG TAB (REM) (B)
Active Ingredient	LEVETIRACETAM
Trade Name	LEVETIRACETAM
Package Size	100'S
Formulary Category	B
Pkg Price	39.12
Unit Price	0.3912
Strength	500MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	120
Package Description	BOX
Manufacturer Code	REM
Manufacturer Name	REMEDICA LTD
Agent Code	SBI
Agent Name	MASSY DISTRIBUTION (BDOS) LTD
Benefit	B
Benefit Cat Code	Anti-Epileptic
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-05-14
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor
Dentist Allowed	N
Therapeutic Code	281292
Therapeutic Desc	ANTICONVULSANTS MISCELLANEOUS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	ANTICONVULSANTS MISCELLANEOUS
Amend Date	2024-04-02