Drugs available on Contract - [APO-APIXABAN 5MG TAB (APO)], []

Contract Number	42
Brand Code	B152N
Brand Name	APO-APIXABAN 5MG TAB (APO)
Active Ingredient	APIXABAN
Trade Name	APO-APIXABAN
Package Size	60'S
Formulary Category	B
Pkg Price	32.62
Unit Price	0.54
Strength	5MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
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	20120412
Therapeutic Desc	DIRECT THROMBIN INHIBITORS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	DIRECT THROMBIN INHIBITORS
Amend Date