Drugs available on Contract - [BOSENTAN 62.5MG TAB (CIP)], []

Contract Number	42
Brand Code	B5211
Brand Name	BOSENTAN 62.5MG TAB (CIP)
Active Ingredient	BOSENTAN
Trade Name	BOSENTAN
Package Size	2X10
Formulary Category	BQ
Pkg Price	121.81
Unit Price	6.09
Strength	62.5MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	BLIS
Manufacturer Code	CIP
Manufacturer Name	CIPLA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code	Anti-Hypertensive
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	4848
Therapeutic Desc	VASODILATING AGENTS MISCELLANEOUS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	VASODILATING AGENTS MISCELLANEOUS
Amend Date