Drugs available on Contract - [APO-DOXY 100MG TAB (APO) ], []

Contract Number	41
Brand Code	5521CK
Brand Name	APO-DOXY 100MG TAB (APO)
Active Ingredient	DOXYCYCLINE
Trade Name	APO-DOXY
Package Size	100'S
Formulary Category	A
Pkg Price	12.37
Unit Price	0.1237
Strength	100MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	14
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	100MG OD
SIGFactor	1
Dentist Allowed	Y
Therapeutic Code	081224
Therapeutic Desc	TETRACYCLINES
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	TETRACYCLINES
Amend Date