Drugs available on Contract - [AAP-PENTOXIFYLLINE SR 400MG TAB (APO) ], []

Contract Number	41
Brand Code	6091B
Brand Name	AAP-PENTOXIFYLLINE SR 400MG TAB (APO)
Active Ingredient	PENTOXIFYLLINE
Trade Name	AAP-PENTOXIFYLLINE
Package Size	100'S
Formulary Category	A
Pkg Price	19.11
Unit Price	0.1911
Strength	400MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	90
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
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	2024
Therapeutic Desc	HEMORRHEOLOGICS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	HEMORRHEOLOGICS
Amend Date