Drugs available on Contract - [APO-HYDROXYQUINE 200MG TAB (APO/COL)], []

Contract Number	40
Brand Code	77317
Brand Name	APO-HYDROXYQUINE 200MG TAB (APO/COL)
Active Ingredient	HYDROXYCHLOROQUINE
Trade Name	APO-HYDROXYQUINE
Package Size	100'S
Formulary Category	A
Pkg Price	35.39
Unit Price	0.35
Strength	200MG
Unit Description	TABLET
Max. Reimbursable Quantity / Month	120
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	0
Dentist Allowed	No
Therapeutic Code	083008
Therapeutic Desc	ANTIMALARIALS
Status Description
Default Route	Oral
Max Repeats	6
Therapeutic Head	ANTI-INFECTIVE AGENTS
Amend Date