Drugs available on Contract - [APO-ELETRIPTAN 40MG TAB (APO) (C)], []

Contract Number	41
Brand Code	A661BD
Brand Name	APO-ELETRIPTAN 40MG TAB (APO) (C)
Active Ingredient	ELETRIPTAN HYDROBROMIDE
Trade Name	APO-ELETRIPTAN
Package Size	6'S
Formulary Category	C
Pkg Price	22.18
Unit Price	3.6969
Strength	40MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	0
Package Description	BOX
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
Therapeutic Code	1216
Therapeutic Desc	SYMPATHOLYTIC (ADRENERGIC BLOCKING) AGENTS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	SYMPATHOLYTIC (ADRENERGIC BLOCKING) AGENTS
Amend Date