Drugs available on Contract - [TRAJENTA 5MG TAB (BOE) LINAGLIPTIN], []

Contract Number	42
Brand Code	B2711
Brand Name	TRAJENTA 5MG TAB (BOE) LINAGLIPTIN
Active Ingredient	LINAGLIPTIN
Trade Name	TRAJENTA
Package Size	30'S
Formulary Category	C
Pkg Price	114.66
Unit Price	3.82
Strength	5MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	0
Package Description	BLIS
Manufacturer Code	BOE
Manufacturer Name	BOEHRINGER INGELHEIM
Agent Code	STO
Agent Name	BRYDEN STOKES LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	682005
Therapeutic Desc	DIPEPTIDYL PEPTIDASE INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	DIPEPTIDYL PEPTIDASE INHIBITORS
Amend Date