Drugs available on Contract - [NOVORAPID FLEXPENS 100U/ML (NOV/COL) ASPART], []

Contract Number	40
Brand Code	B2214
Brand Name	NOVORAPID FLEXPENS 100U/ML (NOV/COL) ASPART
Active Ingredient	ASPART
Trade Name	NOVORAPID FLEXPENS
Package Size	5X3ML
Formulary Category	A
Pkg Price	88.35
Unit Price	17.67
Strength	100U/ML
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	1
Package Description	VIAL
Manufacturer Code	NOV
Manufacturer Name	NOVO NORDISK A/S
Agent Code	COL
Agent Name	COLLINS LTD
Benefit	B
Benefit Cat Code	Anti-Diabetic
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	5
Dentist Allowed	No
Therapeutic Code	682008
Therapeutic Desc	INSULINS
Status Description
Default Route	SC
Max Repeats	6
Therapeutic Head	HORMONES AND SYNTHETIC SUBSTITUTES
Amend Date