Drugs available on Contract - [APO-CLOMIPRAMINE 25MG TAB (APO)], []

Contract Number	42
Brand Code	44516
Brand Name	APO-CLOMIPRAMINE 25MG TAB (APO)
Active Ingredient	CLOMIPRAMINE
Trade Name	APO-CLOMIPRAMINE
Package Size	100'S
Formulary Category	A
Pkg Price	13.18
Unit Price	0.13
Strength	25MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	180
Package Description	BOTT
Manufacturer Code	APO
Manufacturer Name	APOTEX INC.
Agent Code	COL
Agent Name	AVENTA BARBADOS
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	28160428
Therapeutic Desc	TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
Amend Date