Drugs available on Contract - [APO-LANSOPRAZOLE 30MG CAP (APO) (C)], []

Contract Number	41
Brand Code	B041NT
Brand Name	APO-LANSOPRAZOLE 30MG CAP (APO) (C)
Active Ingredient	LANSOPRAZOLE
Trade Name	APO-LANSOPRAZOLE
Package Size	100'S
Formulary Category	C
Pkg Price	20.31
Unit Price	0.2031
Strength	30MG
Unit Description	CAP
Max. Reimbursable Quantity / Month	0
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	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