Drugs available on Contract - [SYMBICORT TURBU 320MCG|9MCG INHR (AZN) BUDESONIDE|FORMOTEROL], []

Contract Number	41
Brand Code	02335
Brand Name	SYMBICORT TURBU 320MCG\|9MCG INHR (AZN) BUDESONIDE\|FORMOTEROL
Active Ingredient	BUDESONIDE\|FORMOTEROL
Trade Name	SYMBICORT TURBU
Package Size	60 DOSES
Formulary Category	A
Pkg Price	52.19
Unit Price	52.1918
Strength	320MCG\|9MCG
Unit Description	INHR
Max. Reimbursable Quantity / Month	1
Package Description	BOX
Manufacturer Code	AZN
Manufacturer Name	ASTRAZENECA AB
Agent Code	COL
Agent Name	COLLINS LTD
Benefit	B
Benefit Cat Code	Anti-Asthmatic
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	4892
Therapeutic Desc	RESPIRATORY AGENTS MISCELLANEOUS
Status Description
Default Route	ORAL INHALATION
Max Repeats	6
Therapeutic Head	RESPIRATORY AGENTS MISCELLANEOUS
Amend Date