Drugs available on Contract - [ZUVITOP 50MG CAP (ZUV) ETOPOSIDE], []

Contract Number	41
Brand Code	67827
Brand Name	ZUVITOP 50MG CAP (ZUV) ETOPOSIDE
Active Ingredient	ETOPOSIDE
Trade Name	ZUVITOP
Package Size	20'S
Formulary Category	BQ
Pkg Price	32.18
Unit Price	1.6092
Strength	50MG
Unit Description	CAP
Max. Reimbursable Quantity / Month	10
Package Description	BOTT
Manufacturer Code	ZUV
Manufacturer Name	ZUVIUS
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
Benefit
Benefit Cat Code	Anti-Neoplastic
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-05-17
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode	QD
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	1000
Therapeutic Desc	ANTINEOPLASTICS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	ANTINEOPLASTICS
Amend Date	2024-04-05