Drugs available on Contract - [TYKONIB 400MG TAB (MSN) (BQ)], []

Contract Number	41
Brand Code	4332U
Brand Name	TYKONIB 400MG TAB (MSN) (BQ)
Active Ingredient	IMATINIB
Trade Name	TYKONIB
Package Size	30'S
Formulary Category	BQ
Pkg Price	117.02
Unit Price	3.9008
Strength	400MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	BOTT
Manufacturer Code	MSN
Manufacturer Name	MSN LABS
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	1000
Therapeutic Desc	ANTINEOPLASTICS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	ANTINEOPLASTICS
Amend Date