Drugs available on Contract - [APO-DEFERASIROX 125MG TAB (APO) (C)], []

Contract Number	41
Brand Code	60014
Brand Name	APO-DEFERASIROX 125MG TAB (APO) (C)
Active Ingredient	DEFERASIROX
Trade Name	DEFERASIROX
Package Size	28'S
Formulary Category	C
Pkg Price	109.33
Unit Price	3.9047
Strength	125MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	0
Package Description	BOX
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	6400
Therapeutic Desc	HEAVY METAL ANTAGONISTS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	HEAVY METAL ANTAGONISTS
Amend Date