Drugs available on Contract - [APO-LEVOCARB 25MG|250MG TAB (APO) ], []

Contract Number	41
Brand Code	3622R
Brand Name	APO-LEVOCARB 25MG\|250MG TAB (APO)
Active Ingredient	CARBIDOPA\|LEVODOPA
Trade Name	APO-CARBIDOPA\|LEVODOPA
Package Size	100'S
Formulary Category	A
Pkg Price	25.61
Unit Price	0.2561
Strength	25MG\|250MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	240
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
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	283616
Therapeutic Desc	DOPAMINE PRECURSORS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	DOPAMINE PRECURSORS
Amend Date