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

Contract Number	41
Brand Code	67828
Brand Name	ZUVITOP 50MG TAB (ZUV) ETOPOSIDE
Active Ingredient	ETOPOSIDE
Trade Name	ZUVITOP
Package Size	8'S
Formulary Category	BQ
Pkg Price	26.34
Unit Price	3.2925
Strength	50MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	10
Package Description	BOX
Manufacturer Code	ZUV
Manufacturer Name	ZUVIUS
Agent Code	PHA
Agent Name	PHARMACY SALES CARIBBEAN
Benefit
Benefit Cat Code	Anti-Neoplastic
Drug Contract Start Date	2024-04-05
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
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