Drugs available on Contract - [APO-TIZANIDINE 4MG TAB (APO)], []

Contract Number	42
Brand Code	7911AC
Brand Name	APO-TIZANIDINE 4MG TAB (APO)
Active Ingredient	TIZANIDINE
Trade Name	APO-TIZANIDINE
Package Size	100'S
Formulary Category	A
Pkg Price	9.65
Unit Price	0.10
Strength	4MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	21
Package Description	BOTT
Manufacturer Code	APO
Manufacturer Name	APOTEX INC.
Agent Code	COL
Agent Name	AVENTA BARBADOS
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	122092
Therapeutic Desc	SKELETAL MUSCLE RELAXANTS, MISCELLANEOUS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	SKELETAL MUSCLE RELAXANTS, MISCELLANEOUS
Amend Date