Drugs available on Contract - [APO-EZETIMIBE 10MG TAB (APO) EZETIM], []

Contract Number	41
Brand Code	3151H
Brand Name	APO-EZETIMIBE 10MG TAB (APO) EZETIM
Active Ingredient	EZETIMIBE
Trade Name	APO-EZETIMIBE
Package Size	100'S
Formulary Category	A
Pkg Price	22.18
Unit Price	0.2218
Strength	10MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	30
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	1 OD
SIGFactor	1
Dentist Allowed	N
Therapeutic Code	240605
Therapeutic Desc	CHOLESTEROL ABSORPTION INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	CHOLESTEROL ABSORPTION INHIBITORS
Amend Date