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

Contract Number	42
Brand Code	B041CF
Brand Name	APO-PANTOPRAZOLE 40MG TAB (APO)
Active Ingredient	PANTOPRAZOLE
Trade Name	APO-PANTOPRAZOLE
Package Size	100'S
Formulary Category	C
Pkg Price	14.11
Unit Price	0.14
Strength	40MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	7
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	100
Dentist Allowed	N
Therapeutic Code	562836
Therapeutic Desc	PROTON PUMP INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	PROTON PUMP INHIBITORS
Amend Date