Drugs available on Contract - [DAPAGLIFLOZIN 10MG TAB (KWA) ], []

Contract Number	41
Brand Code	B421A
Brand Name	DAPAGLIFLOZIN 10MG TAB (KWA)
Active Ingredient	DAPAGLIFLOZIN
Trade Name	DAPAGLIFLOZIN
Package Size	28'S
Formulary Category	A
Pkg Price	7.77
Unit Price	0.2777
Strength	10MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	30
Package Description	BOTT
Manufacturer Code	KWA
Manufacturer Name	KWALITY PHARMACEUTICALS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit	B
Benefit Cat Code	Anti-Diabetic
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	682018
Therapeutic Desc	SODIUM-GLUCOSE COTRANSPORTER INHIBITOR
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	SODIUM-GLUCOSE COTRANSPORTER INHIBITOR
Amend Date