Drugs available on Contract - [SAFEBO 125MG TAB (MSN) (BQ)], []

Contract Number	41
Brand Code	B521D
Brand Name	SAFEBO 125MG TAB (MSN) (BQ)
Active Ingredient	BOSENTAN
Trade Name	SAFEBO
Package Size	60'S
Formulary Category	BQ
Pkg Price	163.24
Unit Price	2.7206
Strength	125MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	0
Package Description	BOX
Manufacturer Code	MSN
Manufacturer Name	MSN LABS
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit
Benefit Cat Code
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	4848
Therapeutic Desc	VASODILATING AGENTS MISCELLANEOUS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	VASODILATING AGENTS MISCELLANEOUS
Amend Date