Drugs available on Contract - [APO-ACETAZOLAMIDE 250MG TAB (APO) ], []

Contract Number	41
Brand Code	2281AS
Brand Name	APO-ACETAZOLAMIDE 250MG TAB (APO)
Active Ingredient	ACETAZOLAMIDE
Trade Name	APO-ACETAZOLAMIDE
Package Size	100'S
Formulary Category	A
Pkg Price	12.01
Unit Price	0.1202
Strength	250MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	120
Package Description	BOTT
Manufacturer Code	APO
Manufacturer Name	APOTEX INC.
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit	B
Benefit Cat Code	Anti-Glaucoma
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist	Yes
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	402804
Therapeutic Desc	CARBONIC ANHYDRASE INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	CARBONIC ANHYDRASE INHIBITORS
Amend Date