Drugs available on Contract - [APO-DICLO 25MG TAB (APO/COL)], []

Contract Number	40
Brand Code	4141ZJ
Brand Name	APO-DICLO 25MG TAB (APO/COL)
Active Ingredient	DICLOFENAC SODIUM
Trade Name	APO-DICLO
Package Size	100'S
Formulary Category	A
Pkg Price	9.70
Unit Price	0.10
Strength	25MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	100
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	1 TD
SIGFactor	3
Dentist Allowed	Yes
Therapeutic Code	28080492
Therapeutic Desc	OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
Status Description
Default Route	Oral
Max Repeats	6
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date