Drugs available on Contract - [AAP-DIAZEPAM 5MG TAB (APO/COL) ], []

Contract Number	40
Brand Code	16023
Brand Name	AAP-DIAZEPAM 5MG TAB (APO/COL)
Active Ingredient	DIAZEPAM
Trade Name	AAP-DIAZEPAM
Package Size	100'S
Formulary Category	A
Pkg Price	8.15
Unit Price	0.08
Strength	5MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	120
Package Description	TAB
Manufacturer Code	APO
Manufacturer Name	APOTEX INC.
Agent Code	COL
Agent Name	COLLINS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode	5MG TD
SIGFactor	3
Dentist Allowed	No
Therapeutic Code	282408
Therapeutic Desc	BENZODIAZEPINES (SEDATIVES)
Status Description
Default Route	Oral
Max Repeats	6
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date