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

Contract Number	41
Brand Code	0502J
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	0.1821
Strength	100MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	56
Package Description	BOTT
Manufacturer Code	APO
Manufacturer Name	APOTEX INC.
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	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