Drugs available on Contract - [AAP-NITROFURANTOIN 100MG TAB (APO)], []

Contract Number	42
Brand Code	05027
Brand Name	AAP-NITROFURANTOIN 100MG TAB (APO)
Active Ingredient	NITROFURANTOIN
Trade Name	AAP-NITROFURANTOIN
Package Size	100'S
Formulary Category	A
Pkg Price	18.21
Unit Price	0.18
Strength	100MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	56
Package Description	BOTT
Manufacturer Code	APO
Manufacturer Name	APOTEX INC.
Agent Code	COL
Agent Name	AVENTA BARBADOS
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode	100MG Q6H
SIGFactor	4
Dentist Allowed	N
Therapeutic Code	0836
Therapeutic Desc	URINARY ANTI-INFECTIVES
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	URINARY ANTI-INFECTIVES
Amend Date