Drugs available on Contract - [APO-LEVOFLOXACIN 750MG TAB (APO/COL)], []

Contract Number	40
Brand Code	6711FZ
Brand Name	APO-LEVOFLOXACIN 750MG TAB (APO/COL)
Active Ingredient	LEVOFLOXACIN
Trade Name	APO-LEVOFLOXACIN
Package Size	100'S
Formulary Category	BQ
Pkg Price	105.72
Unit Price	1.06
Strength	750MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	0
Package Description	TAB
Manufacturer Code	APO
Manufacturer Name	APOTEX INC.
Agent Code	COL
Agent Name	COLLINS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	100
Dentist Allowed	Yes
Therapeutic Code	081218
Therapeutic Desc	QUINOLONES
Status Description
Default Route	Oral
Max Repeats	6
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date