Drugs available on Contract - [APO-ISMN 60MG TAB (APO) ], []

Contract Number	41
Brand Code	A483L
Brand Name	APO-ISMN 60MG TAB (APO)
Active Ingredient	ISOSORBIDE MONONITRATE
Trade Name	APO-ISMN
Package Size	100'S
Formulary Category	A
Pkg Price	18.24
Unit Price	0.1824
Strength	60MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	BOTT
Manufacturer Code	APO
Manufacturer Name	APOTEX INC.
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	241208
Therapeutic Desc	NITRATES AND NITRITES
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	NITRATES AND NITRITES
Amend Date